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General NPI Number Information
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NPI Number | 1013240704
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Entity Type | Organization
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Legal Business Name | DEAN T. SUEDA DDS.MS, INC
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 1441 KAPIOLANI BLVD SUITE 617
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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Country | US
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Telephone | 808-944-1603
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Fax | 808-949-3100
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Provider Business Mailing Address
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Address Line | 1441 KAPIOLANI BLVD SUITE 617
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City | HONOLULU
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State | HI
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Zip | 96814-4402
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Country | US
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Telephone | 808-944-1603
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Fax | 808-949-3100
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEAN T SUEDA
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Credential | DDS
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Telephone | 808-944-1603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1066
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1066
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License Number State | HI
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