Shonna Wheeler

NPI #1134696156 in King Cove, Alaska

Provider Information

NPI Number: 1134696156
Entity Type: Individual
Name: Shonna Wheeler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Therapist
Enumeration Date: Oct 29, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 100 SLOCUM DRIVE
City: King Cove
State: Alaska
ZIP Code: 99612
Phone: (907) 497-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Therapist	125J00000X	Primary

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