Interior Community Health Center Dental Prog

NPI #1124244181 in Fairbanks, Alaska

Provider Information

NPI Number
1124244181
Entity Type
Organization
Organization Name
Interior Community Health Center Dental Prog
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1606 23RD AVE
State
Alaska
ZIP Code
99701-6407
Phone
(907) 455-4567

Authorized Official

Name
CHERYL KILGORE
Title
EXECUTIVE DIRECTOR
Phone
(907) 455-4567

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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