| The Pediatric Dental Center | |
|
222 Chalan Santo Papa Ste 301 Hagatna GU 96910 | |
| (671) 477-6235 | |
| (671) 477-6237 |
| Full Name | The Pediatric Dental Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 222 Chalan Santo Papa Ste 301, Hagatna, Guam |
| Authorized Official Name and Position | Bonijean Kekoolani Garrido (BUSINESS MANAGER) |
| Authorized Official Contact | 6714776235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pediatric Dental Center 222 Chalan Santo Papa Ste 301 Hagatna GU 96910 Ph: (671) 477-6235 | The Pediatric Dental Center 222 Chalan Santo Papa Ste 301 Hagatna GU 96910 Ph: (671) 477-6235 |
| NPI Number | 1033319538 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033319538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D 992 (Guam) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | D 611 (Guam) | Primary |