DR. Jeremy Brian Lake, DDS

NPI #1891981189 in Jbphh, Hawaii

Provider Information

NPI Number
1891981189
Entity Type
Individual
Name
DR. Jeremy Brian Lake, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Sep 20, 2007
Last Updated
Aug 26, 2022

Practice Location

Address
755 SCOTT CIR BLDG 559
City
Jbphh
State
Hawaii
ZIP Code
96853-5399
Phone
(808) 448-6371

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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