Janice Malilay, DDS

Individual provider Active NPI General Practice Dentistry · Tamuning, GU

NPI 1255874285 · NPPES record last updated Nov 22, 2016

Key facts

NPI
1255874285
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D923 (GU)
Practice address
194 Chalan San Antonio
Suite 201
Tamuning, GU 96913-3508
Phone
(671) 646-6510
Fax
(671) 649-4993
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D923GUMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D923 GU Yes

Addresses

Primary practice location

194 Chalan San Antonio
Suite 201
Tamuning, GU 96913-3508

Mailing address

194 Chalan San Antonio
Suite 201
Tamuning, GU 96913-3508
Phone (671) 646-6510

Other providers in Tamuning, GU

All providers in Tamuning, GU · General Practice Dentistry in Guam

Sources for this page

Verify at the official NPI Registry.