MRS. Jill Marie Kisaka, RDH

NPI #1366709768 in Sitka, Alaska

Provider Information

NPI Number: 1366709768
Entity Type: Individual
Name: MRS. Jill Marie Kisaka, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Apr 23, 2012
Last Updated: Apr 23, 2012

Practice Location

Address: 222 TONGASS DR
Address 2: ATTN: JILL KISAKA IN DENTAL
City: Sitka
State: Alaska
ZIP Code: 99835-9416
Phone: (907) 966-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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