Individual
MS. CYNTHIA INDERRIEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 3406 ALDER, USA DENTAC-AK, ATTN:KAMISH DENTAL CLINIC, FT WAINWRIGHT, AK 99703-7440
(907) 361-5530
Mailing address
1060 GAFFNEY RD. #1055, USA DENTAC-AK, ATTN: MCDS-DD-CO, FT WAINWRIGHT, AK 99703-7440
(907) 361-5530
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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