Individual
MIKAYLA KASSAIULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559-3427
(907) 543-6319
Mailing address
PO BOX 3427, BETHEL, AK 99559-3427
(907) 543-6319
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
23-175-DHAT
AK
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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