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ALASKA ENDODONTIC SPECIALISTS LLC

Endodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1801951884

Organizational Registrant:
Organization Name:  ALASKA ENDODONTIC SPECIALISTS LLC
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

Contact information for business:
4001 LAKE OTIS PKWY SUITE 202 ANCHORAGE, AK 99508-5211 US
Tel: 907-334-9995  Fax: 907-334-9951

Registration Information:
NPI: 1801951884
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223E0200XDental Providers
Dentist
Endodontics
AK290934

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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