Gwendolyn Agnes Owletuck

NPI #1457027443 in Bethel, Alaska

Provider Information

NPI Number
1457027443
Entity Type
Individual
Name
Gwendolyn Agnes Owletuck
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Therapist
Enumeration Date
Aug 19, 2021
Last Updated
Aug 19, 2021

Practice Location

Address
700 CHIEF EDDIE HOFFMAN HIGHWAY
City
Bethel
State
Alaska
ZIP Code
99559-0528
Phone
(907) 679-2204

Specialties & Taxonomy Codes

Specialty
Dental Therapist

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