Organization · NPI-2

Alaska Dental Care, LLC

Dentist · Anchorage, AK

NPI number1033508122
StatusActive
Last updated in NPPESJan 13, 2015

Details

NPI
1033508122
Entity type
Organization (NPI-2)
Legal business name
Alaska Dental Care, LLC
Organization subpart
No
Enumeration date
Jan 13, 2015
Last updated
Jan 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist875AKYes

Practice location

4000 Old Seward Hwy
Suite 200
Anchorage, AK 99503-6068

Phone 907-561-3639 · Fax 907-562-5337

Mailing address

4000 Old Seward Hwy
Suite 200
Anchorage, AK 99503-6068

Phone 907-561-3639 · Fax 907-562-5337

Authorized official

Brett M Gardiner
Owner Dentist
9075613639

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