NPI | 1912591173 |
---|---|
Doing Business As | GARDEN ISLAND DENTAL |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER GODLA Dentist 808-245-3582 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-02-26 |
Last Update Date | 2021-02-26 |