Organization · Type 2 NPI
Ketchikan Indian Corporation
Dental Clinic/Center · Ketchikan, AK
NPI number
1396153649
Active
Practice location
2960 Tongass Ave
Ketchikan, AK 99901-5742
Fax (800) 887-8796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 378 (AK) |
Dental Clinic/Center: Definition to come...
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- Blake Bachant, PharmDAmbulatory Care Pharmacist Ketchikan, AK NPI 1477382786
Other dental clinic/center providers in Ketchikan
About NPI 1396153649
Ketchikan Indian Corporation's National Provider Identifier is 1396153649, issued on Jul 31, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ketchikan, AK. The record was last updated on Jul 31, 2014.