Organization
OAHU ENDODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMO CHUN (PRESIDENT)
(808) 949-3960
Entity
Organization
Contact information
Practice address
1441 KAPIOLANI BLVD, SUITE 1416, HONOLULU, HI 96814-4402
(808) 949-3960
Mailing address
1441 KAPIOLANI BLVD, SUITE 1416, HONOLULU, HI 96814-4402
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1840
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1840
HDS
HI
01
—
979233
UNITED CONCORDIA
—
01
—
A60-150
HMSA
HI
Enumeration date
03/26/2007
Last updated
08/22/2020
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