GWENDOLYN AGNES OWLETUCK

BETHEL, AK
NPI1457027443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy125J00000X Dental Therapist
(Licence: AK  21-159-DHAT)
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
GWENDOLYN AGNES OWLETUCK
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-679-2204
Mailing Address
GWENDOLYN AGNES OWLETUCK
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-679-2204