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Dental Assistant

Fort Wainwright, Alaska

Provider NPI: 1700235546

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 907-361-7476  Fax: --

Business Mailing Address:
Tel: 907-361-7476  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant


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