Glacier Dental, Llc

NPI 1093042194 - Dentist - 1223G0001X

NPI Details
NPI 1093042194
Enumeration Date 11/10/2009
Last Updated 11/10/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SUN SUN
Position SECRETARY
Phone (907) 677-1212
Fax (907) 677-1247
Practice Location
2421 E TUDOR RD
SUITE 101
ANCHORAGE AK, 99507-1128, US
Phone (907) 677-1212
Fax (907) 677-1247
Business Location
2421 E TUDOR RD
SUITE 101
ANCHORAGE AK, 99507-1128, US
Phone (907) 677-1212
Fax (907) 677-1247
Toxanomy
Taxonomy Code 1223G0001X
License State Alaska
License Number 1239
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According to our database, Glacier Dental, Llc NPI is 1093042194, taxonomy code is 1223G0001X and license number is 1239, license state is located at Alaska. Glacier Dental, Llc physically located at 2421 E Tudor Rd, Anchorage AK, 99507-1128. NPI Number 1033115704 has the healthcare provider type.

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1093042194 NPI number is provided on an as is basis without warranty of any kind. 1093042194 is maintained by the National Plan & Provider Enumeration System. The contents of Glacier Dental, Llc are for informational purposes only.