Individual
HEATHER EQUEVILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
935 E WESTPOINT DR STE 201, WASILLA, AK 99654-7181
(907) 206-6084
Mailing address
935 E WESTPOINT DR STE 201, WASILLA, AK 99654-7181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
277064
AK
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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