Individual
DR. TALIFA J TALIFA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
3965 TAFUNA PETESA ROAD, PAGO PAGO, AS 96799-3965
(684) 699-6380
(684) 699-6374
Mailing address
PO BOX 5666, PAGO PAGO, AS 96799-5666
(168) 469-9638
(168) 469-9637
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2070 - A
AS
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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