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Individual

HANSEL MA. G. VILLARICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
FIRST STREET FAGAALU, PETESA ROAD, PAGO PAGO, AS 96799-4168
(684) 699-6380
(684) 699-6374
Mailing address
FIRST STREET FAGAALU, PETESA, PAGO PAGO, AS 96799-4168
(684) 699-6380
(684) 699-6374

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2026-C
AS

Other

Enumeration date
01/22/2015
Last updated
05/29/2015
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