South Anchorage Dental Clinic LLC

NPI #1568623106 in Anchorage, Alaska

Provider Information

NPI Number: 1568623106
Entity Type: Organization
Organization Name: South Anchorage Dental Clinic LLC
Primary Specialty: Dental Assistant
Enumeration Date: Jun 17, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 9170 JEWEL LAKE ROAD
Address 2: SUITE 201
City: Anchorage
State: Alaska
ZIP Code: 99502
Phone: (907) 248-7275

Authorized Official

Name: SCOTT HEBERTSON, DDS
Title: PRESIDENT
Phone: (907) 248-7275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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MRS. Leigh C Lykins	Dental Assistant	Juneau	AI Deep Dive
Amy G. Ogrinc, DENTAL ASSISTANT	Dental Assistant	Kodiak	AI Deep Dive

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