KEVIN BRENT SHEDLOCK, DDS, PC
Dentist in Glennallen, AK

License number
Alaska 1001
Category
Ambulatory Health
Type
Dental
Owner
Name: KEVIN BRENT SHEDLOCK DDS
Title: DENTIST
Phone: (907) 320-0455
Address
Address
187 Glenn Hwy, Glennallen, AK 99588
National Provider ID: 1336547926
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kevin Brent Shedlock, DDS, PC

PO Box 789, Glennallen, AK 99588

Registration:
Oct 15, 2014
State ID:
10024404
Business type:
Professional Corporation
Director, President, Shareholder, Secretary, Treasurer:
Kevin Shedlock (Director, President, Shareholder, Secretary, Treasurer)
Next Report:
20160102

Dentist licenses in Alaska