The Pediatric Dental Center

NPI Provider: 1033319538
Contact Name: Garrido Kekoolani Bonijean
Position: Business Manager
Phone: (671) 477-6235

The Pediatric Dental Center Information:

The Pediatric Dental Center organization have npi 1033319538, taxonomy code is 1223P0221X with license number is D 611 in . This Business address located in 222 Chalan Santo Papa Ste 301, Hagatna, GU 96910 Guam.

Practice Location
Address: 222 Chalan Santo Papa Ste 301, Hagatna, GU 96910
Phone: (671) 477-6235

Business Location
Address: 222 Chalan Santo Papa Ste 301, Hagatna, GU 96910
Phone: (671) 477-6235
Fax: (671) 477-6237

Taxonomy

Taxonomy Code: 1223P0221X

License Number: D 611

License Number of State: GU

Primary Taxonomy Switch: Y

Enumeration Date: 7/23/2007

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