Aurora Dental Clinic, LLC

NPI #1922310432 in Wasilla, Alaska

Provider Information

NPI Number
1922310432
Entity Type
Organization
Organization Name
Aurora Dental Clinic, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 13, 2010
Last Updated
Jul 13, 2010

Practice Location

Address
4501 E SNIDER DR
State
Alaska
ZIP Code
99654-7604
Phone
(907) 376-8400

Authorized Official

Name
DR. DEL JEAN DEDEKER, D.D.S.
Title
MEMBER/ORGANIZER
Phone
(907) 376-8400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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