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Contact Information

BSJC, LLC
692 N MARINE CORPS DR STE 301
TAMUNING, GU96913-4454
 Phone: 671-300-3221
 Fax: 671-300-3223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for BSJC LLC · (Female)

NPI Number 1659885523
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2017
Last updated 11/29/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • GU License # D1014
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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