Organization
M. K. DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL C. W. KAU D.D.S. (MEMBER-MANAGER)
(808) 941-1464
Entity
Organization
Contact information
Practice address
1773 S KING ST, SUITE 201, HONOLULU, HI 96826-2183
(808) 941-1464
Mailing address
1773 S KING ST, SUITE 201, HONOLULU, HI 96826-2183
(808) 941-1464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
333
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333
HAWAII DENTAL SERVICE
HI
01
—
8630-6
HMSA
HI
Enumeration date
02/26/2007
Last updated
08/22/2020
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