Amanda Shavings PDHA 1

NPI 1720356520 - Dentist - 1223D0001X

NPI Details
NPI 1720356520
Gender Female
Enumeration Date 12/07/2011
Last Updated 12/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL AK, 99559-0528, US
Phone (907) 827-8111
Fax (907) 827-8351
Business Location
PO BOX 86
MEKORYUK AK, 99630-0086, US
Phone (907) 827-2078
Fax (907) 827-8351
Toxanomy
Taxonomy Code 1223D0001X
License State Alaska
License Number 11-082-PDHA1
Remove 1720356520 NPI Number
 

According to our database, Mrs. Amanda Shavings PDHA 1 NPI is 1720356520, taxonomy code is 1223D0001X and license number is 11-082-PDHA1, license state is located at Alaska. Amanda Shavings PDHA 1 physically located at 829 Chief Eddie Hoffman Highway, Bethel AK, 99559-0528. NPI Number Amanda Shavings PDHA 1 has the Individual type.

Sponsored links

1720356520 NPI number is provided on an as is basis without warranty of any kind. 1720356520 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Shavings PDHA 1 are for informational purposes only.