DEIDRE DAYTON

FAIRBANKS, AK
NPI1356825814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: AK  18-148-DHAT)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2018-09-20
Last Update Date2022-07-28
Business Address
DEIDRE DAYTON DHAT
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-8251
Mailing Address
DEIDRE DAYTON DHAT
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-8251
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