Reaching Out Ministries

NPI #1972733053 in Tamuning, Guam

Provider Information

NPI Number: 1972733053
Entity Type: Organization
Organization Name: Reaching Out Ministries
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 22, 2009
Last Updated: Jul 22, 2009

Practice Location

Address: 226 CHALAN SAN ANTONIO STE C
Address 2: AMPARO'S BUSINESS CENTER
City: Tamuning
State: Guam
ZIP Code: 96913-3525
Phone: (671) 646-2010

Authorized Official

Name: DR. KENNY WAYNE BOURGEOIS, DDS
Title: PRESIDENT/PRIMARY DENTAL PROVIDER
Phone: (671) 646-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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