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Individual

MS. ALISON MOLLIE MAE KAGANAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL HEALTH AID TH

Contact information

Practice address
49 AIRPORT ROAD, HOOPER BAY, AK 99604-0049
(907) 758-3500
(907) 758-3540
Mailing address
P.O. BOX 49, HOOPER BAY, AK 99604-0049
(907) 758-3500
(907) 758-3540

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
12/15/2011
Last updated
12/15/2011
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