Individual
MRS. MICHELE M. MCTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
480 CENTRAL AVENUE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 477-2600
Mailing address
91-129 APUU PL, EWA BEACH, HI 96706-3915
(808) 477-2600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1384
HI
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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