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MS. ALISON MOLLIE MAE KAGANAK DENTAL HEALTH AID TH

>> Technician, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1912276247

Individual Registrant:
MS. ALISON MOLLIE MAE KAGANAK DENTAL HEALTH AID TH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
49 AIRPORT ROAD  HOOPER BAY, AK 99604-0049 US
Tel: 907-758-3500  Fax: 907-758-3540

Contact information for business:
P.O. BOX 49  HOOPER BAY, AK 99604-0049 US
Tel: 907-758-3500  Fax: 907-758-3540

Registration Information:
NPI: 1912276247
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y247200000XTechnologists, Technicians & Other Technical Service Providers
Technician, Other

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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