Individual
JANET H AMUKTOOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
306 WEST 5TH AVE, NOME, AK 99762
(907) 443-3311
Mailing address
306 WEST 5TH AVE, NOME, AK 99762
(907) 443-3311
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
05-020-EFDHA
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-020-EFDHA
05-020-EFDHA
AK
Enumeration date
11/29/2011
Last updated
11/29/2011
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