Ketchikan Indian Corporation

NPI #1396153649 in Ketchikan, Alaska

Provider Information

NPI Number
1396153649
Entity Type
Organization
Organization Name
Ketchikan Indian Corporation
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 31, 2014
Last Updated
Jul 31, 2014

Practice Location

Address
2960 TONGASS AVE
State
Alaska
ZIP Code
99901-5742
Phone
(907) 228-9200

Authorized Official

Name
MR. STEVE F HUDSON
Title
HEALTH ADMINISTRATOR
Phone
(907) 228-9253

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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