Individual
KATHERINE S. PAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRIMARY DENTAL HEALT
Contact information
Practice address
100 CLINIC WAY, TUNTUTLIAK, AK 99680
(907) 256-2718
(907) 256-2718
Mailing address
P.O. BOX 528, BETHEL, AK 99559-0528
(907) 543-6229
(907) 543-6393
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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