Individual provider · NPI-1

Renee Mae Rose Cheemuk

Dental Therapist · Bethel, AK

NPI number1629455183
StatusActive
Last updated in NPPESMay 4, 2015

Details

NPI
1629455183
Entity type
Individual (NPI-1)
Name
Renee Mae Rose Cheemuk
Sex
Female
Sole proprietor
No
Enumeration date
May 4, 2015
Last updated
May 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
125J00000X Dental Therapist15-125-DHATAKYes

Practice location

900 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0528

Phone 907-543-6000 · Fax 907-543-6393

Mailing address

900 Chief Eddie Hoffman Hwy
P.O. Box 528
Bethel, AK 99559-0528

Phone 907-543-6000 · Fax 907-543-6393

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