Individual
MS. SAMANTHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 5TH AND TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7325
Mailing address
P.O. BOX 670, KOTZEBUE, AK 99752
(907) 231-3393
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
15-124-DHAT
AK
125J00000X
Dental Therapist
234051
AK
Other
Enumeration date
07/18/2014
Last updated
03/27/2015
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