Individual
KALEB HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6767
Mailing address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6767
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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