Provider Demographics
NPI:1205089745
Name:SAKIMA ROBERTS, GINELLE A (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:GINELLE
Middle Name:A
Last Name:SAKIMA ROBERTS
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:75-5751 KUAKINI HWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1752
Mailing Address - Country:US
Mailing Address - Phone:808-322-8005
Mailing Address - Fax:808-329-5057
Practice Address - Street 1:81-6627 MAMALAHOA HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-8180
Practice Address - Country:US
Practice Address - Phone:808-322-8005
Practice Address - Fax:808-329-5057
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
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Provider Licenses
StateLicense IDTaxonomies
HICSDT 0361223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry