Individual
DR. JILL KATHRYN MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 98862
(907) 543-6229
Mailing address
BOX 525, DENTAL DEPT, BETHEL, AK 98862
(907) 543-6229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5790
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD5790
—
AK
Enumeration date
04/02/2007
Last updated
08/10/2007
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