NPI 1093909558
The Dentists Clinic
Practice location
- Address
- 761 S Marine Corps Drive Suite A-2 Centam Building, Tamuning, GU 96913
- Phone
- (671) 646-7982
- Fax
- (671) 646-7989
- Mailing address
- PO Box W, Hagatna, GU 96932
Authorised official
- Name
- Jeffrey Charles Johnson
- Title
- General Partner
- Phone
- (671) 646-7982
Registered specialties (2)
General Practice Dentistry
Primary
Pediatric Dentistry
Registry record
- NPI
- 1093909558
- Entity type
- Organization
- NPI issued
- 28 Aug 2007
- Record last updated
- 28 Aug 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.