Timothy Michael Lethin

NPI #1104838077 in Anchorage, Alaska

Provider Information

NPI Number: 1104838077
Entity Type: Individual
Name: Timothy Michael Lethin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2601 BONIFACE PKWY
City: Anchorage
State: Alaska
ZIP Code: 99504-3106
Phone: (907) 337-9474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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