Individual
SHONNA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SLOCUM DRIVE, KING COVE, AK 99612
(907) 497-2311
(907) 497-2310
Mailing address
3380 C ST STE 100, ANCHORAGE, AK 99503-3949
(907) 277-1440
(907) 277-1436
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
18150DHAT
AK
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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