KIMBERLY R SELF

BARROW, AK
NPI1073841797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  1395)
Additional Taxonomies122300000X Dentist
(Licence: TX  24630)
Enumeration Date2009-11-19
Last Update Date2012-07-18
Business Address
-- KIMBERLY R SELF D.D.S.
1296 AGVIK STREET
BARROW, AK 99723-0029
Phone number: 907-852-9221
Mailing Address
-- KIMBERLY R SELF D.D.S.
1296 AGVIK STREET PO BOX 29
BARROW, AK 99723-0029
Phone number: 907-852-9221