NPI 1457027443

Gwendolyn Agnes Owletuck

Practitioner Dental Therapist Bethel, AK

Practice location

Address: 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528
Phone: (907) 679-2204
Fax: (907) 543-6399
Mailing address: PO Box 528, Bethel, AK 99559-0528

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence 21-159-DHAT (AK)

Other Dental Therapist providers in Alaska →

Registry record

NPI: 1457027443
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2021
Record last updated: 19 Aug 2021

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.