Individual
KIMLEA SARA MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1296 AGVIK ST, BARROW, AK 99723
(907) 852-9221
(907) 852-9297
Mailing address
1296 AGVIK ST, PO BOX 29, BARROW, AK 99723
(907) 852-9221
(907) 852-9297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1217
AK
122300000X
Dentist
9244
CO
Other
Enumeration date
11/01/2006
Last updated
06/23/2008
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