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General NPI Number Information
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NPI Number | 1992782262
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Entity Type | Individual
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Provider Name | CANDICE G. MCMULLAN-VOGEL DDS, FAGD
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Gender | Female
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 1594 LAUKAHI ST
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City | HONOLULU
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State | HI
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Zip | 96821-1432
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Country | US
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Telephone | 808-373-4321
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Fax | 808-373-5198
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Provider Business Mailing Address
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Address Line | 1594 LAUKAHI ST
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City | HONOLULU
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State | HI
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Zip | 96821-1432
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Country | US
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Telephone | 808-373-4321
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Fax | 808-373-5198
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DT2015
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License Number State | HI
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