Individual
DR. LIA DOMINICI-BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6700 KALANIANAOLE HWY, SUITE 107, HONOLULU, HI 96825-1277
(808) 396-6800
Mailing address
2732 E MANOA RD, #A, HONOLULU, HI 96822-1818
(808) 729-6107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1722
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56419
DENTAL LICENSE
CA
01
—
DT 1722
DENTAL LICENSE
HI
Enumeration date
06/25/2006
Last updated
10/11/2013
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