OrganizationActive
Reaching Out Ministries
NPI 1972733053 · Dental Clinic/Center · Tamuning, GU
Provider details
- NPI number
- 1972733053
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenny Bourgeois, President/Primary Dental Provider(671) 646-2010
- License
- 14605 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
226 Chalan San Antonio Ste C
Amparo'S Business Center
Tamuning, GU 96913-3525
Phone: (671) 646-2010
Fax: (671) 646-2070
Mailing address
226 Chalan San Antonio Ste C
Tamuning, GU 96913-3525
Other names (DBA / former)
- Doing business as
- Paradise Smiles Dental Clinic
Registry dates
- Enumerated
- 2009-07-22
- Last updated
- 2009-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.