Owletuck, Gwendolyn Agnes

Owletuck, Gwendolyn Agnes is an individual health care provider with primary practice located at 700 Chief Eddie Hoffman Highway , Bethel AK 99559-0528. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Owletuck, Gwendolyn Agnes can be contacted via phone (907) 679-2204.

Contact Information

Primary practice address
700 Chief Eddie Hoffman Highway Bethel AK 99559-0528
Fax: (907) 543-6399
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X 21-159-DHAT Alaska

Profile Details

NPI number 1457027443
LBN Legal business name Owletuck, Gwendolyn Agnes
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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