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Search › Hawaii › General Practice Dentistry

Jeremy Lake, DDS

NPI 1891981189 · on the registry since 2007

Practice

Address
755 Scott Cir Bldg 559
Jbphh, HI 96853
Phone
(808) 448-6371
Organisation at this address
Mariardnutrition Llc Dba Veg Out With Maria
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii