NPI 1891434270

Nikasio Koroi, 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 4041C (AS)

Other Dentist providers in American Samoa →

Registry record

NPI: 1891434270
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2022
Record last updated: 2 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.