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ALASKA ENDODONTIC SPECIALISTS LLC
Endodontics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1801951884
Organizational Registrant:Organization Name: ALASKA ENDODONTIC SPECIALISTS LLC
Organization is not Subpart
Authorized Official: MICHAEL J MAUGER PARTNER 907--33-49995
Organization is not Subpart
Authorized Official: MICHAEL J MAUGER PARTNER 907--33-49995
Location and contact information for practice:
4001 LAKE OTIS PKWY SUITE 202 ANCHORAGE, AK 99508-5211 US
Tel: 907-334-9995 Fax: 907-334-9951
Tel: 907-334-9995 Fax: 907-334-9951
Contact information for business:
4001 LAKE OTIS PKWY SUITE 202 ANCHORAGE, AK 99508-5211 US
Tel: 907-334-9995 Fax: 907-334-9951
Tel: 907-334-9995 Fax: 907-334-9951
Registration Information:
NPI: 1801951884
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223E0200X | Dental Providers Dentist Endodontics | AK | 290934 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
