NPI 1518160464

Maniilaq Association

Organisation Dentist Kotzebue, AK

Practice location

Address: 436 5th & Ted Stevens Way, Kotzebue, AK 99752
Phone: (907) 442-3321
Fax: (907) 442-7250
Mailing address: PO Box 43, Kotzebue, AK 99752-0043

Authorised official

Name: Paul Hanson
Title: Administrator
Phone: (907) 442-3321

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 234051 (AK)

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Registry record

NPI: 1518160464
Entity type: Organization
NPI issued: 7 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.