Individual
ELSIE PELOWOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-3309
(907) 443-3723
Mailing address
PO BOX 112, SAVOONGA, AK 99769
(907) 443-3309
(907) 443-3723
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
14-117-DHAT
AK
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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