=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366506248
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KENNETH H. ARAKAWA, DDS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/21/2006
-----------------------------------------------------
Last Update Date | 05/02/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1441 KAPIOLANI BLVD SUITE 1225
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96814-4402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-942-9999
-----------------------------------------------------
Fax | 808-942-7070
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1441 KAPIOLANI BLVD SUITE 1225
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96814-4402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-942-9999
-----------------------------------------------------
Fax | 808-942-7070
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | KENNETH H. ARAKAWA
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 808-942-9999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223S0112X
-----------------------------------------------------
Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
-----------------------------------------------------
License Number | 1830
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------