Maniilaq Association

NPI #1003010042 in Kotzebue, Alaska

Provider Information

NPI Number: 1003010042
Entity Type: Organization
Organization Name: Maniilaq Association
Primary Specialty: Dentist
Enumeration Date: Jun 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 436 5TH & TED STEVENS WAY
City: Kotzebue
State: Alaska
ZIP Code: 99752
Phone: (907) 442-3321

Authorized Official

Name: PAUL HANSON
Title: MEDICAL STAFF SERVICES
Phone: (907) 442-3321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Maniilaq Association	Dentist	Kotzebue	AI Deep Dive

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