Organization
SEARHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA SAFFORD (DENTAL HEALTH AIDE)
(907) 755-4918
Entity
Organization
Contact information
Practice address
7300 KLAWOCK/HOLLIS HWY, KLAWOCK, AK 99925-0069
(907) 755-4918
(907) 755-4811
Mailing address
PO BOX 69, KLAWOCK, AK 99925-0069
(907) 755-4918
(907) 755-4811
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
11-075-PDHA I
AK
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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