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Organization

YUKON KUSKOKWIM HEALTH CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENE PELTOLA (CEO)
(907) 543-6020
Entity
Organization

Contact information

Practice address
829 CHIEF EDDIE HOFFMAN HWY, STE 340, BETHEL, AK 99559
(907) 543-6000
(907) 543-6117
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223G0001X
General Practice Dentistry
Primary
126800000X
Dental Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DDG141
AK
Enumeration date
04/13/2007
Last updated
03/03/2008
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