Individual provider · NPI-1

Angelica Afcan, DHAT

Dental Therapist · Bethel, AK

NPI number1134512676
StatusActive
Last updated in NPPESMar 9, 2015

Details

NPI
1134512676
Entity type
Individual (NPI-1)
Name
Angelica Afcan
Credential
DHAT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 9, 2015
Last updated
Mar 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
125J00000X Dental Therapist15-122-DHATAKYes

Practice location

829 Chief Eddie Hoffman Highway
Bethel, AK 99559

Phone 907-543-6200 · Fax 907-543-6393

Mailing address

Po Box 528
Bethel, AK 99559-0528

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