Whalio Doctors

NPI 1093909558

The Dentists Clinic

Organisation General Practice Dentistry Tamuning, GU

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
Dental Providers Taxonomy 1223G0001X Licence D 829 (GU)
Pediatric Dentistry
Dental Providers Taxonomy 1223P0221X Licence D 901 (GU)

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.