Whalio Doctors

NPI 1194907980

Roger John Kaneshiro, DDSMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Tamuning, GU

Practice location

Address
880 N Marine Corps Dr Suite 111, Tamuning, GU 96913-4428
Phone
(671) 646-9890
Fax
(671) 646-9892

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary
Dental Providers Taxonomy 1223X0400X Licence D-903 (GU)

Registry record

NPI
1194907980
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Dec 2007
Record last updated
4 Dec 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.