Organization
ISLAND DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. DUGAN D.D.S. (OWNER)
(808) 877-3000
Entity
Organization
Contact information
Practice address
444 HANA HWY STE 210, KAHULUI, HI 96732-2315
(808) 877-3000
Mailing address
444 HANA HWY STE 210, KAHULUI, HI 96732-2315
(808) 877-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1485
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447463542
NPPES
HI
01
—
1485
STATE OF HAWAII
HI
Enumeration date
04/27/2009
Last updated
04/27/2009
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