Provider Demographics
NPI:1619187853
Name:DO, KERI L (DDS)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:L
Last Name:DO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:L
Other - Last Name:CHOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2855 E MANOA RD
Mailing Address - Street 2:#7-105
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1823
Mailing Address - Country:US
Mailing Address - Phone:808-988-6919
Mailing Address - Fax:
Practice Address - Street 1:2855 E MANOA RD
Practice Address - Street 2:#7-105
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1823
Practice Address - Country:US
Practice Address - Phone:808-988-6919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-1910122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist