Charles Cole D.d.s LLC

NPI #1316383631 in Wasilla, Alaska

Provider Information

NPI Number: 1316383631
Entity Type: Organization
Organization Name: Charles Cole D.d.s LLC
Primary Specialty: Dentist
Enumeration Date: May 14, 2013
Last Updated: May 14, 2013

Practice Location

Address: 1830 E PARKS HWY
Address 2: A134
City: Wasilla
State: Alaska
ZIP Code: 99654-7378
Phone: (907) 631-3630

Authorized Official

Name: DR. CHARLES F COLE, DDS
Title: DENTIST/OWNER
Phone: (907) 631-3630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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