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Individual

SUN NAM OAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1481 S KING ST STE 401, HONOLULU, HI 96814-2669
(808) 946-2875
Mailing address
1481 S KING ST STE 401, HONOLULU, HI 96814-2669
(808) 946-2875

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1768
HI
1223G0001X
General Practice Dentistry
1768
HI

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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