Eagle Summit Dental Group

NPI #1629214705 in Eagle River, Alaska

Provider Information

NPI Number: 1629214705
Entity Type: Organization
Organization Name: Eagle Summit Dental Group
Primary Specialty: Dentist
Enumeration Date: Dec 19, 2008
Last Updated: Nov 25, 2014

Practice Location

Address: 13015 OLD GLENN HWY
Address 2: #200
City: Eagle River
State: Alaska
ZIP Code: 99577
Phone: (907) 694-8234

Authorized Official

Name: DR. MICHAEL ROLAND SANDERS, DMD
Title: PRESIDENT
Phone: (907) 694-8234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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