NPI 1932865292

Enrique Fernandez Montes

Practitioner General Practice Dentistry Pago Pago, AS

Practice location

Address: #1 Petesa Rd, Pago Pago, AS 96799
Phone: (684) 699-6380
Mailing address: PO Box 998375, Pago Pago, AS 96799-6314

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4092C (AS)

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Registry record

NPI: 1932865292
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2021
Record last updated: 11 Nov 2021

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.