Pediatric Dentistry of Alaska

NPI #1568616548 in Wasilla, Alaska

Provider Information

NPI Number: 1568616548
Entity Type: Organization
Organization Name: Pediatric Dentistry of Alaska
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 4, 2008
Last Updated: Sep 12, 2018

Practice Location

Address: 3470 E MERIDIAN PARK LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 373-8684

Authorized Official

Name: ROGER DUANE BECK, DDA
Title: OWNER/PRESIDENT
Phone: (907) 373-8684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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