| Organization Name: | DAVID E LUM DDS LLC |
| NPI Number: | 1164790812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID E LUM (MEMBER) |
| Mailing Address: | 95-1099 Ainamakua Dr Ste 3 Mililani |
| State: | HI US |
| Postal Code: | 967894298 |
| Phone Number: | 8086232871 |
| Fax Number: | 8086258739 |
| NPI Enumeration Date: | 12/08/2011 |
| NPI Last Update Date: | 12/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DT-2314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |