Provider Demographics
NPI:1982489381
Name:KAIZEN DENTAL CENTER KANEOHE
Entity type:Organization
Organization Name:KAIZEN DENTAL CENTER KANEOHE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:MASASHI
Authorized Official - Last Name:MURAOKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-397-0303
Mailing Address - Street 1:735 BISHOP ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4817
Mailing Address - Country:US
Mailing Address - Phone:808-536-3405
Mailing Address - Fax:
Practice Address - Street 1:46-001 KAMEHAMEHA HWY STE 318
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3728
Practice Address - Country:US
Practice Address - Phone:808-236-1336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental