Southcentral Foundation
NPI #1750961918 in Iliamna, Alaska
Provider Information
- NPI Number
- 1750961918
- Entity Type
- Organization
- Organization Name
- Southcentral Foundation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHCENTRAL FOUNDATION
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 12, 2021
- Last Updated
- Sep 15, 2023
Practice Location
Authorized Official
- Name
- RONALD LEE OLSON
- Title
- EXECUTIVE VICE PRESIDENT FINANCE
- Phone
- (907) 729-4939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dental Therapist |
| Clinic/Center - Dental — Dental |
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