Individual
TOKO SIPELII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S.
Contact information
Practice address
7014 OTTOVILLE ROAD, ISLAND SMILES, TAFUNA VILLAGE, PAGO PAGO, AS 96799-6293
(684) 733-0073
Mailing address
PO BOX 7014, 7014 OTTOVILLE ROAD, TAFUNA VILLAGE, PAGO PAGO, AS 96799-6293
(684) 733-0073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2092-A
AS
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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