DR. Collette Elke Supit, D.D.S.

NPI #1427475300 in Tamuning, Guam

Provider Information

NPI Number: 1427475300
Entity Type: Individual
Name: DR. Collette Elke Supit, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 27, 2014
Last Updated: Mar 27, 2014

Practice Location

Address: 415 CHALAN SAN ANTONIO
Address 2: SUITE 108
City: Tamuning
State: Guam
ZIP Code: 96913-3620
Phone: (671) 647-3526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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