Organization
CALBERT M B LUM, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALBERT M B LUM DDS (PRESIDENT)
(808) 591-0086
Entity
Organization
Contact information
Practice address
1109 YOUNG ST, STE 106, HONOLULU, HI 96814-1990
(808) 591-0086
(808) 591-0522
Mailing address
1109 YOUNG ST, STE 106, HONOLULU, HI 96814-1990
(808) 591-0086
(808) 591-0522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
912
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
HI
Enumeration date
04/24/2008
Last updated
04/24/2008
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