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DR. JESSE GEORGE HRONKIN DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1679726442
Individual Registrant:DR. JESSE GEORGE HRONKIN DMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
936 E WESTPOINT DR WASILLA, AK 99654-7137 US
Tel: 907-373-2232 Fax: 907-373-2439
Tel: 907-373-2232 Fax: 907-373-2439
Contact information for business:
936 E WESTPOINT DR WASILLA, AK 99654-7137 US
Tel: 907-373-2232 Fax: 907-373-2439
Tel: 907-373-2232 Fax: 907-373-2439
Registration Information:
NPI: 1679726442
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AK | 1123 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DD11231 | AK | 05 |
