| Dr Tracy Repancol Sunga Dds Llc | |
|
674 Harmon Loop Rd Ste 208 Dededo GU 96929-6535 | |
| (671) 988-3235 | |
| Not Available |
| Full Name | Dr Tracy Repancol Sunga Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 674 Harmon Loop Rd Ste 208, Dededo, Guam |
| Authorized Official Name and Position | Tracy Repancol Sunga (OWNER) |
| Authorized Official Contact | 6719883235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracy Repancol Sunga Dds Llc 116 Chalan Gunot Apt 326 Dededo GU 96929-5968 Ph: (671) 988-3235 | Dr Tracy Repancol Sunga Dds Llc 674 Harmon Loop Rd Ste 208 Dededo GU 96929-6535 Ph: (671) 988-3235 |
| NPI Number | 1487434908 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487434908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Harmon Loop Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Harmon Loop Road, Suite 300, Dededo, GU 96929 Phone: 671-637-9696 Fax: 671-637-6464 |