Provider Demographics
NPI:1184980302
Name:LUM, WILLIAM KAM YUEN (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KAM YUEN
Last Name:LUM
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 1:95-1099 AINAMAKUA DR
Mailing Address - Street 2:STE 3
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4298
Mailing Address - Country:US
Mailing Address - Phone:808-623-2871
Mailing Address - Fax:808-625-8739
Practice Address - Street 1:95-1099 AINAMAKUA DR
Practice Address - Street 2:STE 3
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-4298
Practice Address - Country:US
Practice Address - Phone:808-623-2871
Practice Address - Fax:808-625-8739
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-16931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice