# GENTLE CARE DENTAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144415183
- **Authorized official:** DR. FRANCISCO PEREZ SAN NICOLAS JR. DMD (PEDIATRIC DENTIST VICE PRESIDENT)
- **Authorized official phone:** (671) 646-8858

## Contact information

- **Practice address:** 278 SOUTH MARINE CORP DRIVE, HENGI PLAZA SUITE 102, TAMUNING, GU 96931
- **Practice address phone:** (671) 646-8858
- **Practice address fax:** (671) 646-3578
- **Mailing address:** 278 SOUTH MARINE CORP DRIVE, HENGI PLAZA SUITE 102, TAMUNING, GU 96931
- **Mailing address phone:** (671) 646-8858
- **Mailing address fax:** (671) 646-3578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D992 | GU | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 09/12/2007