Individual
SAMANTHA CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHAT
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 668-3439
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 668-3439
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
18-152
AK
Other
Enumeration date
11/19/2018
Last updated
02/02/2023
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