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Contact Information

GWENDOLYN A OWLETUCK
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK99559-0528
 Phone: 907-679-2204
 Fax: 907-543-6399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Therapist

125J00000X
Indicates primary specialty

NPI Profile & details for GWENDOLYN A OWLETUCK · (Female)

NPI Number 1457027443
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2021
Last updated 08/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 21-159-DHAT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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