Individual
JODY R SESSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
561 S DENALI ST, SUITE B, PALMER, AK 99645-6439
(907) 745-8122
Mailing address
561 S DENALI ST, SUITE B, PALMER, AK 99645-6439
(907) 745-8122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
865
AK
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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