NPI 1215158696

Elwood Winfield Johnson

Practitioner Dentist Tamuning, GU

Practice location

Address: 388 Ypao Rd, Tamuning, GU 96913-3701
Phone: (671) 646-8881
Fax: (671) 648-2556

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D915 (GU)

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Registry record

NPI: 1215158696
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 8 Jul 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.