Individual
KRISTIN SHAHAN SAREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
COMDT CG 1122 USCG, 2100 2ND STREET SW, WASHINGTON, DC 20593-0001
(907) 966-5366
Mailing address
PO BOX 6134, SITKA, AK 99835-6134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6776
NC
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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