Kevin Brent Shedlock, Dds, PC
NPI #1336547926 in Glennallen, Alaska
Provider Information
- NPI Number
- 1336547926
- Entity Type
- Organization
- Organization Name
- Kevin Brent Shedlock, Dds, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 12, 2014
- Last Updated
- Dec 12, 2014
Practice Location
- Address
- MILE 187 GLENN HIGHWAY
- City
- Glennallen
- State
- Alaska
- ZIP Code
- 99588
- Phone
- (907) 320-0455
Authorized Official
- Name
- KEVIN BRENT SHEDLOCK, DDS
- Title
- DENTIST
- Phone
- (907) 320-0455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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