Dominici-Bly, Lia

Dominici-Bly, Lia is an sole proprietor health care provider with primary practice located at 6700 Kalanianaole Hwy Suite 107, Honolulu HI 96825-1277. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Dominici-Bly, Lia can be contacted via phone (808) 396-6800.

Contact Information

Primary practice address
6700 Kalanianaole Hwy Suite 107 Honolulu HI 96825-1277
Phone: (808) 396-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DT1722 Hawaii

Profile Details

NPI number 1114953494
LBN Legal business name Dominici-Bly, Lia
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2006
Last updated Oct 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114953494 NPPES
California Other 56419 DENTAL LICENSE
California Other DT 1722 DENTAL LICENSE

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