NPI 1235528837

Inoke Tutanekai Siasau, BDS

Practitioner Public Health Dentistry Pago Pago, AS

Practice location

Address: First Street Fagaalu, Pago Pago, AS 96799-4001
Phone: (684) 699-6380
Fax: (684) 699-6374
Mailing address: PO Box 4001, Pago Pago, AS 96799

Registered specialties

Public Health Dentistry Primary

Dental Providers Taxonomy 1223D0001X Licence 2060-A (AS)

Other Dentist providers in American Samoa →

Registry record

NPI: 1235528837
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2015
Record last updated: 20 Jan 2015

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.