Individual
SUMMER MICHELE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHAT
Contact information
Practice address
216 DALTON STREET, SUITE 102, HAINES, AK 99827
(907) 766-6372
Mailing address
PO BOX 1529, HAINES, AK 99827-1529
(907) 766-6372
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
16-139-DHA
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-139-DHA
CHAP CERTIFICATION BOARD
AK
Enumeration date
11/08/2016
Last updated
11/08/2016
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