Alaska Dental Arts Llc

NPI 1194062364 - Dentist - 1223G0001X

NPI Details
NPI 1194062364
Enumeration Date 01/08/2013
Last Updated 01/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TERRAN TERRAN
Position PRACTICE MANGER
Phone (907) 376-5207
Fax
Practice Location
110 E SWANSON AVE
WASILLA AK, 99654-7024, US
Phone (907) 376-5207
Fax
Business Location
110 E SWANSON AVE
WASILLA AK, 99654-7024, US
Phone (907) 376-5207
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Alaska
License Number 1308
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According to our database, Alaska Dental Arts Llc NPI is 1194062364, taxonomy code is 1223G0001X and license number is 1308, license state is located at Alaska. Alaska Dental Arts Llc physically located at 110 E Swanson Ave, Wasilla AK, 99654-7024. NPI Number 1033115704 has the healthcare provider type.

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1194062364 NPI number is provided on an as is basis without warranty of any kind. 1194062364 is maintained by the National Plan & Provider Enumeration System. The contents of Alaska Dental Arts Llc are for informational purposes only.