Individual
ALLISON KRISTI WASULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752
(907) 412-2559
Mailing address
PO BOX 805, KOTZEBUE, AK 99752-0805
(907) 412-2559
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
19-153-DHAT
AK
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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