Individual
ANGIE SMITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 STEDMAN ST, KETCHIKAN, AK 99901-6661
(907) 228-0320
(907) 228-0255
Mailing address
1300 STEDMAN ST, KETCHIKAN, AK 99901-6661
(907) 228-0320
(907) 228-0255
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2123
AK
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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