| Garden Island Dental Llc | |
|
4347 Rice St Ste 202 Lihue HI 96766-1335 | |
| (808) 245-3582 | |
| Not Available |
| Full Name | Garden Island Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4347 Rice St Ste 202, Lihue, Hawaii |
| Authorized Official Name and Position | Christopher Godla (DENTIST) |
| Authorized Official Contact | 8082453582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Island Dental Llc 4347 Rice St Ste 202 Lihue HI 96766-1335 Ph: (808) 245-3582 | Garden Island Dental Llc 4347 Rice St Ste 202 Lihue HI 96766-1335 Ph: (808) 245-3582 |
| NPI Number | 1912591173 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912591173 | NPI | - | NPPES |
| 1467871780 | Other | HI | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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