Individual
JACLYN M LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1109 YOUNG ST, STE 106, HONOLULU, HI 96814-1990
(808) 591-0086
Mailing address
1109 YOUNG ST, STE 106, HONOLULU, HI 96814-1990
(808) 591-0086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 2358
HI
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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