Organization
ISLAND DENTISTRY, INC.
Active
Other names
Island Dentistry For Children
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLY LI GEYER DMD (PRESIDENT)
(808) 384-4579
Entity
Organization
Contact information
Practice address
30 AULIKE ST, SUITE 503, KAILUA, HI 96734-2707
(808) 384-4579
(808) 261-1449
Mailing address
30 AULIKE ST, SUITE 503, KAILUA, HI 96734-2707
(808) 384-4579
(808) 261-1449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT2106
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
575441-04
—
HI
Enumeration date
03/26/2007
Last updated
08/22/2020
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