Individual
DR. ETHAN THOMAS SEGERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
480 CENTRAL AVE BLDG 1750, JBPHH, HI 96860-4908
(888) 683-2778
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10368
IA
Other
Enumeration date
07/18/2025
Last updated
08/06/2026
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