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DR. JAY R DERKSEN DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1841491974

Individual Registrant:
DR. JAY R DERKSEN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
880 N STREET #223 ANCHORAGE, AK 99501 US
Tel: 907-276-5418  Fax: 907-274-6427

Contact information for business:
880 N STREET #223 ANCHORAGE, AK 99501 US
Tel: 907-276-5418  Fax: 907-274-6427

Registration Information:
NPI: 1841491974
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AKAA0474

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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