Individual
FALETOI D USO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
11155 TURNER DRIVE, PAGO PAGO, AS 96799-0010
(684) 633-1222
(684) 633-1869
Mailing address
PO BOX LBJ, PAGO PAGO, AS 96799-0010
(684) 633-1222
(684) 633-1869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3069A
AS
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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