Individual
INOKE TUTANEKAI SIASAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
FIRST STREET FAGAALU, PAGO PAGO, AS 96799-4001
(684) 699-6380
(684) 699-6374
Mailing address
PO BOX 4001, PAGO PAGO, AS 96799
(684) 699-6380
(684) 699-6374
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2060-A
AS
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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