Individual
STEVE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HYGIENIST
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9820
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9820
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1084
AK
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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