Healthcare Provider Details

I. General information

NPI: 1669630786
Provider Name (Legal Business Name): EDWARD L. HO DMD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 WAIALAE AVE SUITE 320
HONOLULU HI
96816-5842
US

IV. Provider business mailing address

3221 WAIALAE AVE SUITE 320
HONOLULU HI
96816-5842
US

V. Phone/Fax

Practice location:
  • Phone: 808-732-6655
  • Fax: 808-735-4371
Mailing address:
  • Phone: 808-732-6655
  • Fax: 808-735-4371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number1005
License Number StateHI

VIII. Authorized Official

Name: DR. EDWARD L HO
Title or Position: PRESIDENT
Credential: DMD
Phone: 808-732-6655