MEDICARE: DR. BRAD BING HIM CHING DDS MSD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DT1919	HI

General Provider Information

NPI Number	:	1396887766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRAD BING HIM CHING DDS MSD

Provider Business Mailing Address
First Line	:	615 PIIKOI ST
Second Line	:	SUITE 1501
City	:	HONOLULU
State	:	HI
Zip	:	96814-3142
Country	:	US
Telephone Number	:	808-596-8625
Fax Number	:	808-596-8626

Provider Business Practice Location Address
First Line	:	615 PIIKOI ST
Second Line	:	SUITE 1501
City	:	HONOLULU
State	:	HI
Zip	:	96814-3142
Country	:	US
Telephone Number	:	808-596-8625
Fax Number	:	808-596-8626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

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