Basic Information
| Provider Information | |||||||||
| NPI: | 1639483779 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KALVIN Y HUR DDS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 N BERETANIA ST APT 1403 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968174757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085361216 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4211 WAIALAE AVE STE G22 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968165323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8087357777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2010 | ||||||||
| LastUpdateDate: | 07/30/2010 | ||||||||
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| AuthorizedOfficialLastName: | HUR | ||||||||
| AuthorizedOfficialFirstName: | KALVIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8089534894 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | DT2274 | HI | Y | 193400000X SINGLE SPECIALTY GROUP | Dental Providers | Dentist | General Practice |
No ID Information.