Alyeska Pediatric Dentistry, LLC
Dentist, Pediatric Dentistry in Anchorage, AK. Organization (NPI-2).
NPI number1194471672
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1194471672
- Entity type
- Organization (NPI-2)
- Legal business name
- Alyeska Pediatric Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Other names
- Anchorage Pediatric Dentistry (Doing Business As)
Practice location
4200 Lake Otis Pkwy Ste 201Anchorage, AK 99508-5226
Phone 907-562-1003 · Fax 907-562-1006
Mailing address
3818 Westminster WayAnchorage, AK 99508-4834
Phone 702-812-7861
Authorized official
Easte Warnick
Owner/Pediatric Dentist
7028127861
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