Provider Demographics
NPI:1821333790
Name:ERIK, DARIAN MCL (PRIMARY DENTAL HEALT)
Entity Type:Individual
Prefix:
First Name:DARIAN
Middle Name:MCL
Last Name:ERIK
Suffix:
Gender:F
Credentials:PRIMARY DENTAL HEALT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 528
Mailing Address - Street 2:YKHC
Mailing Address - City:BETHEL
Mailing Address - State:AK
Mailing Address - Zip Code:99559-0528
Mailing Address - Country:US
Mailing Address - Phone:907-543-6229
Mailing Address - Fax:907-543-6393
Practice Address - Street 1:49 WEST HOUSING ROAD
Practice Address - Street 2:YKHC CHEFORNAK CLINIC
Practice Address - City:CHEFORNAK
Practice Address - State:AK
Practice Address - Zip Code:99561-0049
Practice Address - Country:US
Practice Address - Phone:907-867-8922
Practice Address - Fax:907-867-8717
Is Sole Proprietor?:No
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other