Organization
KAHALA DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYTON Q LUM D.D.S. (DENTIST)
(808) 732-2821
Entity
Organization
Contact information
Practice address
4211 WAIALAE AVE, SUITE 203, HONOLULU, HI 96816-5306
(808) 732-2821
(808) 732-2822
Mailing address
4211 WAIALAE AVE, SUITE 203, HONOLULU, HI 96816-5306
(808) 732-2821
(808) 732-2822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1314
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1314
DENTAL LICENSE
HI
Enumeration date
02/27/2007
Last updated
08/22/2020
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