Provider Demographics
NPI:1053409565
Name:LAPITAN, AILEEN CODEN (DMD)
Entity type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:CODEN
Last Name:LAPITAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-673 KUPUOHI ST STE C102
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5372
Mailing Address - Country:US
Mailing Address - Phone:808-678-9588
Mailing Address - Fax:
Practice Address - Street 1:94-673 KUPUOHI ST STE C102
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5372
Practice Address - Country:US
Practice Address - Phone:808-678-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI19921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice