Isa Dental | |
761 S Marine Corps Drive Suite A-2 Centam Building Tamuning GU 96913 | |
(671) 646-7982 | |
(671) 646-7989 |
Full Name | Isa Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 761 S Marine Corps Drive, Tamuning, Guam |
Authorized Official Name and Position | Jeffrey Charles Johnson (GENERAL PARTNER) |
Authorized Official Contact | 6716467982 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Isa Dental Po Box W Hagatna GU 96932 Ph: (671) 646-7982 | Isa Dental 761 S Marine Corps Drive Suite A-2 Centam Building Tamuning GU 96913 Ph: (671) 646-7982 |
NPI Number | 1093909558 |
---|---|
Provider Enumeration Date | 08/28/2007 |
Last Update Date | 08/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093909558 | NPI | - | NPPES |
555029 | Other | HI | HAWAII DENTAL SERVICES |
185 | Medicaid | GU |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D 829 (Guam) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | D 901 (Guam) | Secondary |
News Archive
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Hafa Adai Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 S Marine Corps Dr, Suite 104 Itc Bldg, Tamuning, GU 96913 Phone: 671-649-7851 Fax: 671-649-7853 | |
Gentle Care Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 South Marine Corp Drive, Hengi Plaza Suite 102, Tamuning, GU 96931 Phone: 671-646-8858 Fax: 671-646-3578 | |
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