Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES INC
Active
Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LUNG D.M.D. (PRESIDENT)
(808) 973-3747
Entity
Organization
Contact information
Practice address
1580 MAKALOA ST, SUITE 725, HONOLULU, HI 96814
(808) 973-3747
(808) 973-3757
Mailing address
1580 MAKALOA ST, SUITE 725, HONOLULU, HI 96814-3237
(808) 973-3747
(808) 973-3757
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1088
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326130717
INDIVIDUAL NPI
HI
01
—
1689772659
PATNER'S INDIVIDUAL NPI
HI
01
—
HOMS
MEDICARE LEGACY
HI
Enumeration date
05/14/2007
Last updated
09/04/2018
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