Mark K. Koizumi, D.D.S., Inc.

LBN: Mark K. Koizumi, D.D.S., Inc.
Mark K. Koizumi, D.D.S., Inc. is an health care organization with primary practice located at 275 Ponahawai St Suite 103, Hilo HI 96720-3074. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Mark K. Koizumi, D.D.S., Inc. can be contacted via phone (808) 935-1149, or through Koizumi, Mark K. via phone (808) 935-1149.

Contact Information

Primary practice address
275 Ponahawai St Suite 103 Hilo HI 96720-3074
Phone: (808) 935-1149
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koizumi, Mark K. Doctor of Dental Surgery (DDS)
Phone: (808) 935-1149

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DT-1380 Hawaii

Profile Details

NPI number 1538373972
LBN Legal business name Mark K. Koizumi, D.D.S., Inc.
DBA Doing business as
Authorized official Koizumi, Mark K. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Jun 29th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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