NPI 1750010864

Rodney Tupua, BDS

Practitioner Dentist Pago Pago, AS

Practice location

Address: 11155 Turner Drive, Pago Pago, AS 96799-0010
Phone: (684) 633-1222
Fax: (684) 633-1869
Mailing address: PO Box Lbj, Pago Pago, AS 96799-0010

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3096A (AS)

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Registry record

NPI: 1750010864
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2022
Record last updated: 6 Jun 2022

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.