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Organization

GARDEN ISLAND DENTAL LLC

Active
Other names
Garden Island Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER GODLA DMD (DENTIST)
(808) 245-3582
Entity
Organization

Contact information

Practice address
4347 RICE ST STE 202, LIHUE, HI 96766-1335
(808) 245-3582
Mailing address
4347 RICE ST STE 202, LIHUE, HI 96766-1335
(808) 245-3582

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467871780
NPI 1
HI
Enumeration date
02/26/2021
Last updated
02/26/2021
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