Advanced Family Dentistry

NPI 1093920431 - Dentist - 122300000X

NPI Details
NPI 1093920431
Enumeration Date 05/11/2007
Last Updated 01/29/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN W STEPHEN
Position OWNER
Phone (907) 357-5018
Fax (907) 864-1091
Practice Location
1401 SOUTH SEWARD MERIDIAN PARKWAY
SUITE E
WASILLA AK, 99654, US
Phone (907) 357-5018
Fax (907) 864-1091
Business Location
1401 SOUTH SEWARD MERIDIAN PARKWAY
SUITE E
WASILLA AK, 99654, US
Phone (907) 357-5018
Fax (907) 864-1091
Toxanomy
Taxonomy Code 122300000X
License State Alaska
License Number 1167
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According to our database, Advanced Family Dentistry NPI is 1093920431, taxonomy code is 122300000X and license number is 1167, license state is located at Alaska. Advanced Family Dentistry physically located at 1401 South Seward Meridian Parkway, Wasilla AK, 99654. NPI Number 1033115704 has the healthcare provider type.

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1093920431 NPI number is provided on an as is basis without warranty of any kind. 1093920431 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Family Dentistry are for informational purposes only.