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Individual

CAROL TSURUKO DALTON-DOSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
412 FRONTAGE RD, STE 20, KENAI, AK 99611
(907) 335-2100
Mailing address
39156 COULTER CT, SOLDOTNA, AK 99669-8649
(907) 260-5370

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA567
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD42831
AK
Enumeration date
03/16/2007
Last updated
07/08/2007
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