NPI 1467861799

Suzanne Sison Kaneshiro, DDS

Practitioner Dentist Dededo, GU

Practice location

Address: 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929
Phone: (671) 637-9696
Fax: (671) 637-6464
Mailing address: 505 Harmon Loop Rd. Suite 300, Dededo, GU 96429

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D904 (GU)

Other Dentist providers in Guam →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence D904 (GU)

Registry record

NPI: 1467861799
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2014
Record last updated: 26 Jun 2018

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.