Individual
JANETTE CARMEN ULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 AIRPORT RD, HOOPER BAY CLINIC, HOOPER BAY, AK 99604
(907) 758-3500
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6229
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
07-046-DHAT
AK
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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