Individual
RUBY OKITKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6229
Mailing address
PO BOX 246, EMMONAK, AK 99581-0246
(907) 949-3500
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
13-116-DHAT
AK
Other
Enumeration date
11/15/2019
Last updated
12/12/2019
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