Individual
DR. MARK S RAGSAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
677 ALA MOANA BLVD, SUITE 902, HONOLULU, HI 96813-5419
(808) 536-8503
(808) 536-8503
Mailing address
677 ALA MOANA BLVD, SUITE 902, HONOLULU, HI 96813-5419
(808) 536-8503
(808) 536-8503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 1422
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2369-3
BLUE CROSS &BLUE SHIELD
HI
Enumeration date
03/07/2007
Last updated
07/08/2007
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