# PALM TREE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dededo Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376420083
- **Authorized official:** MR. ELIAS ABULENCIA (GENERAL MANAGER)
- **Authorized official phone:** (671) 788-1706

## Contact information

- **Practice address:** 144 KAYEN CHANDO STE 101, DEDEDO, GU 96929-4906
- **Practice address phone:** (671) 637-4867
- **Mailing address:** 144 KAYEN CHANDO STE 101, DEDEDO, GU 96929-4906
- **Mailing address phone:** (671) 637-4867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2025
- **Last updated:** 08/18/2025