Organization
IVAN CHUAH LLC
Active
Parent organization
IVAN CHUAH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVAN CHUAH LLC
Authorized official
DR. IVAN CHUAH DDS (SOLE PROPRIETOR)
(808) 246-4881
Entity
Organization
Contact information
Practice address
4347 RICE ST, SUITE 201, LIHUE, HI 96766
(808) 246-4881
(808) 246-4882
Mailing address
4347 RICE ST, SUITE 201, LIHUE, HI 96766
(808) 246-4881
(808) 246-4882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-2458
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68781602
—
HI
Enumeration date
06/04/2018
Last updated
06/04/2018
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