| Palm Tree Llc | |
|
144 Kayen Chando Ste 101 Dededo GU 96929-4906 | |
| (671) 637-4867 | |
| Not Available |
| Full Name | Palm Tree Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 144 Kayen Chando Ste 101, Dededo, Guam |
| Authorized Official Name and Position | Elias Abulencia (GENERAL MANAGER) |
| Authorized Official Contact | 6717881706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Tree Llc 144 Kayen Chando Ste 101 Dededo GU 96929-4906 Ph: (671) 637-4867 | Palm Tree Llc 144 Kayen Chando Ste 101 Dededo GU 96929-4906 Ph: (671) 637-4867 |
| NPI Number | 1376420083 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 08/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376420083 | NPI | - | NPPES |
| 1184990905 | Medicaid | GU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dr Tracy Repancol Sunga Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 674 Harmon Loop Rd Ste 208, Dededo, GU 96929 Phone: 671-988-3235 | |
C V Alegria Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Harmon Loop Road, Suite 300, Dededo, GU 96929 Phone: 671-637-9696 Fax: 671-637-6464 |