Individual
DR. ROGER JOHN KANESHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
880 N MARINE CORPS DR, SUITE 111, TAMUNING, GU 96913-4428
(671) 646-9890
(671) 646-9892
Mailing address
880 N MARINE CORPS DR, SUITE 111, TAMUNING, GU 96913-4428
(671) 646-9890
(671) 646-9892
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-903
GU
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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