Provider Demographics
NPI:1548493554
Name:EDUARDO K. MANAPAT DMD INC.
Entity type:Organization
Organization Name:EDUARDO K. MANAPAT DMD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:KINA
Authorized Official - Last Name:MANAPAT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-487-1885
Mailing Address - Street 1:98-1247 KAAHUMANU ST
Mailing Address - Street 2:203
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5311
Mailing Address - Country:US
Mailing Address - Phone:808-487-1885
Mailing Address - Fax:808-487-7936
Practice Address - Street 1:98-1247 KAAHUMANU ST
Practice Address - Street 2:203
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5311
Practice Address - Country:US
Practice Address - Phone:808-487-1885
Practice Address - Fax:808-487-7936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1447261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental