# PACIFIC FAMILY DENTAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033328646
- **Authorized official:** DR. MARK KEKOA WATANABE DDS (PRESIDENT)
- **Authorized official phone:** (808) 422-1155

## Contact information

- **Practice address:** 4429 MALAAI ST, SUITE 103, HONOLULU, HI 96818-3158
- **Practice address phone:** (808) 422-1155
- **Mailing address:** 4429 MALAAI ST, SUITE 103, HONOLULU, HI 96818-3158
- **Mailing address phone:** (808) 422-1155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DT1923 | HI | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020