Family Medical Dental Center of Alaska INC

NPI #1104996214 in Anchorage, Alaska

Provider Information

NPI Number: 1104996214
Entity Type: Organization
Organization Name: Family Medical Dental Center of Alaska INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 8, 2006
Last Updated: Mar 1, 2012

Practice Location

Address: 4361 BONIFACE PKWY
City: Anchorage
State: Alaska
ZIP Code: 99504-4316
Phone: (907) 333-1211

Authorized Official

Name: DR. MELEDATH GOPINATH
Title: PRESIDENT
Phone: (425) 869-2238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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