Individual provider · NPI-1

Erika Atseriak

Dental Therapist · Bethel, AK

NPI number1891402657
StatusActive
Last updated in NPPESNov 1, 2022

Details

NPI
1891402657
Entity type
Individual (NPI-1)
Name
Erika Atseriak
Sex
Female
Sole proprietor
No
Enumeration date
Nov 1, 2022
Certification date
Oct 27, 2022
Last updated
Nov 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
125J00000X Dental Therapist22-169-EFDHAAKYes

Practice location

700 Chief Eddie Hoffman Hwy
Bethel, AK 99559-9955

Phone 907-543-6452

Mailing address

Po Box 3427
Bethel, AK 99559-3427

Phone 907-543-6452

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