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Individual

DR. MYREN RICHARD SEVERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1 JARRETT WHITE RD, US ARMY DENTAL ACTIVITY HAWAII ATTN: MCDS-NH, TRIPLER AMC, HI 96859-5000
(808) 433-1021
(808) 433-3928
Mailing address
1 JARRETT WHITE RD, US ARMY DENTAL ACTIVITY HAWAII ATTN: MCDS-NH, TRIPLER AMC, HI 96859-5000
(808) 433-1021
(808) 433-3928

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
05528
VA
1223G0001X
General Practice Dentistry
Primary
1920
HI

Other

Enumeration date
12/29/2005
Last updated
07/13/2026
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