NPI 1770369399

Ifereimi B Naiviqa, BDS

Practitioner Dentist Pagopago, AS

Practice location

Address: Tafuna Chc, Petesa Road ,tafuna, Pagopago, AS 96799
Phone: (684) 633-5871
Mailing address: PO Box 998214, Pago Pago, AS 96799-6312

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4114C (AS)

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Registry record

NPI: 1770369399
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2023
Record last updated: 8 Sep 2023

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.