Individual
RUSSELL JUN SUNG TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1481 S KING ST STE 504, HONOLULU, HI 96814-2605
(808) 944-1001
Mailing address
1481 S KING ST STE 504, HONOLULU, HI 96814-2605
(808) 944-1001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H01006809
HI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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