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1740674472
SHAWN MARTIN
BETHEL, AK
NPI
1740674472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: AK 15-123-DHAT)
Enumeration Date
2015-03-19
Last Update Date
2015-03-19
Business Address
SHAWN MARTIN DHAT
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Phone number: 907-543-6000
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Mailing Address
SHAWN MARTIN DHAT
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-543-6000
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