Summit Oral Surgery LLC

NPI #1174709927 in Wasilla, Alaska

Provider Information

NPI Number
1174709927
Entity Type
Organization
Organization Name
Summit Oral Surgery LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 10, 2008
Last Updated
Jan 10, 2008

Practice Location

Address
1700 E BOGARD RD STE B202
State
Alaska
ZIP Code
99654-6570
Phone
(907) 357-3414

Authorized Official

Name
MATTHEW ANTHONY WELCH, DDS
Title
MEMBER
Phone
(907) 357-3414

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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