South Anchorage Dental Center

NPI #1841580966 in Anchorage, Alaska

Provider Information

NPI Number
1841580966
Entity Type
Organization
Organization Name
South Anchorage Dental Center
Primary Specialty
Preferred Provider Organization
Enumeration Date
Apr 11, 2011
Last Updated
Apr 11, 2011

Practice Location

Address
9170 JEWEL LAKE RD STE 201
State
Alaska
ZIP Code
99502-5390
Phone
(907) 248-7275

Authorized Official

Name
BROC WAYNE BRIMHALL, DMD
Title
DENTIST
Phone
(907) 248-7275

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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