Individual
SHAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHAT
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6000
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6000
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
15-123-DHAT
AK
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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