Whalio Doctors

NPI 1053560565

Jonathan Visscher, DDS

Practitioner General Practice Dentistry Tamuning, GU

Practice location

Address
388 Ypao Rd, Tamuning, GU 96913-3701
Phone
(671) 646-8881

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D-1013 (GU)

Registry record

NPI
1053560565
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Sep 2008
Record last updated
9 Sep 2008

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.