Individual
MRS. DI ANN THAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7300A KLAWOCK-HOLLIS HWY, KLAWOCK, AK 99925
(907) 755-4997
Mailing address
PO BOX 824, CRAIG, AK 99921-0824
(907) 826-2720
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
531
AK
124Q00000X
Dental Hygienist
Primary
609
AK
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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