Individual
DR. IFEREIMI B NAIVIQA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
TAFUNA CHC, PETESA ROAD ,TAFUNA, PAGOPAGO, AS 96799
(684) 633-5871
Mailing address
PO BOX 998214, PAGO PAGO, AS 96799-6312
(684) 254-0711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4114C
AS
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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