Allen Dental Group Llc

NPI 1124365622 - Dentist - 122300000X

NPI Details
NPI 1124365622
Enumeration Date 01/04/2013
Last Updated 01/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRADFORD C. BRADFORD
Position OWNER/MEMBER
Phone (907) 622-6233
Fax (907) 622-6232
Practice Location
17101 SNOWMOBILE LN
SUITE 107
EAGLE RIVER AK, 99577-7043, US
Phone (907) 622-6233
Fax (907) 622-6232
Business Location
17101 SNOWMOBILE LN
SUITE 107
EAGLE RIVER AK, 99577-7043, US
Phone (907) 622-6233
Fax (907) 622-6232
Toxanomy
Taxonomy Code 122300000X
License State Alaska
License Number 1327
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According to our database, Allen Dental Group Llc NPI is 1124365622, taxonomy code is 122300000X and license number is 1327, license state is located at Alaska. Allen Dental Group Llc physically located at 17101 Snowmobile Ln, Eagle River AK, 99577-7043. NPI Number 1033115704 has the healthcare provider type.

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1124365622 NPI number is provided on an as is basis without warranty of any kind. 1124365622 is maintained by the National Plan & Provider Enumeration System. The contents of Allen Dental Group Llc are for informational purposes only.