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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