Provider Demographics
NPI:1174083844
Name:LIM, HANA TICA (DMD)
Entity type:Individual
Prefix:DR
First Name:HANA
Middle Name:TICA
Last Name:LIM
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:1580 MAKALOA ST STE 725
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3216
Mailing Address - Country:US
Mailing Address - Phone:808-973-3747
Mailing Address - Fax:808-973-3757
Practice Address - Street 1:1580 MAKALOA ST STE 725
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3216
Practice Address - Country:US
Practice Address - Phone:808-973-3747
Practice Address - Fax:808-973-3757
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIDT-3239-0204E00000X
WADR60948710204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery