Hans P. Nordstrom DDS

NPI #1689816969 in Wasilla, Alaska

Provider Information

NPI Number: 1689816969
Entity Type: Organization
Organization Name: Hans P. Nordstrom DDS
Primary Specialty: Dentist
Enumeration Date: Apr 1, 2009
Last Updated: Apr 1, 2009

Practice Location

Address: 1001 E. USA CIRCLE
Address 2: SUITE B
City: Wasilla
State: Alaska
ZIP Code: 99654-7198
Phone: (907) 357-6800

Authorized Official

Name: HANS P NORDSTROM, DDS
Title: OWNER
Phone: (907) 357-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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