Individual
KATHRINE G.D.A LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6000
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
20-157-DHAT
AK
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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