Whalio Doctors

NPI 1659885523

Bsjc, LLC

Organisation Endodontics Tamuning, GU

Practice location

Address
692 N Marine Corps Dr STE 301, Tamuning, GU 96913-4454
Phone
(671) 300-3221
Fax
(671) 300-3223

Authorised official

Name
Jongsung Kim
Title
Ceo
Phone
(671) 300-3221

Registered specialties (4)

Endodontics Primary
Dental Providers Taxonomy 1223E0200X Licence D1014 (GU)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X
Pediatric Dentistry
Dental Providers Taxonomy 1223P0221X
Periodontics
Dental Providers Taxonomy 1223P0300X

Registry record

NPI
1659885523
Entity type
Organization
NPI issued
29 Nov 2017
Record last updated
29 Nov 2017

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.