Individual
MRS. BERNADETTE ANN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHAT
Contact information
Practice address
310 HOSPITAL ROAD, ST. MARY'S, AK 99658
(907) 438-3500
(907) 438-3540
Mailing address
P.O. BOX 310, ST. MARY'S, AK 99658
(907) 438-3500
(907) 438-3540
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/22/2013
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