Individual
TAMMY N MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHAT
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, DENTAL, WASILLA, AK 99654-8083
(907) 729-2000
(907) 729-5178
Mailing address
1001 S KNIK GOOSE BAY RD, DENTAL, WASILLA, AK 99654-8083
(907) 729-2000
(907) 729-5178
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
06027DHAT
AK
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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