Provider Demographics
NPI:1891535787
Name:TARO DENTAL LLC
Entity type:Organization
Organization Name:TARO DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:DIPASQUALE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-395-4474
Mailing Address - Street 1:6700 KALANIANAOLE HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1278
Mailing Address - Country:US
Mailing Address - Phone:808-395-4474
Mailing Address - Fax:
Practice Address - Street 1:6700 KALANIANAOLE HWY STE 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1278
Practice Address - Country:US
Practice Address - Phone:425-766-1615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental