JEREMY BRIAN LAKE

JBPHH, HI
NPI1891981189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WV  3792)
Enumeration Date2007-09-20
Last Update Date2022-08-26
Business Address
Dr. JEREMY BRIAN LAKE DDS
755 SCOTT CIR BLDG 559
JBPHH, HI 96853-5399
Phone number: 808-448-6371
Mailing Address
Dr. JEREMY BRIAN LAKE DDS
724 LELEMANU ALY
HONOLULU, HI 96818-5942
Phone number: 707-392-9419
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