Ketchikan Dental

NPI #1518720911 in Ketchikan, Alaska

Provider Information

NPI Number
1518720911
Entity Type
Organization
Organization Name
Ketchikan Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 30, 2024
Last Updated
Jan 30, 2024

Practice Location

Address
130 CARLANNA LAKE RD
State
Alaska
ZIP Code
99901-5669
Phone
(909) 967-8052

Authorized Official

Name
TANNER D ZYLSTRA, DDS
Title
OWNER
Phone
(909) 967-8052

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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