Denali Pediatric Dentistry

NPI #1205148301 in Anchorage, Alaska

Provider Information

NPI Number: 1205148301
Entity Type: Organization
Organization Name: Denali Pediatric Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 7, 2010
Last Updated: Jul 7, 2010

Practice Location

Address: 2600 DENALI ST
Address 2: SUITE 500
City: Anchorage
State: Alaska
ZIP Code: 99503-2746
Phone: (907) 334-9543

Authorized Official

Name: DR. CLINT C HENRIE, D.M.D.
Title: MEMBER LLC
Phone: (907) 830-9771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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