Healthcare Provider Details

I. General information

NPI: 1831225291
Provider Name (Legal Business Name): KUO & CHEN DENTAL GROUP, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD SUITE 1505
HONOLULU HI
96814-4402
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD SUITE 1505
HONOLULU HI
96814-4402
US

V. Phone/Fax

Practice location:
  • Phone: 808-951-6888
  • Fax:
Mailing address:
  • Phone: 808-951-6888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number1940
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1939
License Number StateHI

VIII. Authorized Official

Name: DR. DAVID CHEN
Title or Position: PARTNER
Credential: DDS
Phone: 808-951-6888