Provider Demographics
NPI:1265451793
Name:DUNG, RYAN OY (DDS)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:OY
Last Name:DUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-229 WAIPAHU DEPOT ST STE 303
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3033
Mailing Address - Country:US
Mailing Address - Phone:808-677-3601
Mailing Address - Fax:808-677-1577
Practice Address - Street 1:94-229 WAIPAHU DEPOT ST STE 303
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3033
Practice Address - Country:US
Practice Address - Phone:808-677-3601
Practice Address - Fax:808-677-1577
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-17881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice