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Individual

DR. SHANE DAVID RHOTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1060 GAFFNEY RD STOP 7500, FORT WAINWRIGHT, AK 99703-5007
(907) 361-5530
(907) 361-4859
Mailing address
1060 GAFFNEY RD STOP 7500, FORT WAINWRIGHT, AK 99703-5007
(907) 361-5530
(907) 361-4859

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1262
AK

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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