Individual
SABRINA MARIE BEIERLY VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHAT
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4074
(907) 463-1510
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
15-131-DHAT
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-131-DHAT
COMMUNITY HEALTH AIDE PROGRAM
AK
Enumeration date
12/04/2015
Last updated
12/09/2019
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