| Organization Name: | HALEIWA FAMILY DENTAL CENTER, LTD. |
| NPI Number: | 1093723157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD OKAZAKI (DOCTOR) |
| Mailing Address: | 66-125 Kamehameha Hwy Suite 2 Haleiwa |
| State: | HI US |
| Postal Code: | 967121420 |
| Phone Number: | 8086379652 |
| Fax Number: | 8086375688 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 1641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |