Individual
MRS. XENIA M. SERGIE-SHAVINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRIMARY DENTAL HEALT
Contact information
Practice address
43 CHASE ROAD, MEKORYUK, AK 99630
(907) 827-8111
(907) 827-8351
Mailing address
PO BOX 43, MEKORYUK, AK 99630
(907) 827-8111
(907) 827-8351
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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