Southcentral Foundation Dental Dhat

NPI #1962726364 in Anchorage, Alaska

Provider Information

NPI Number: 1962726364
Entity Type: Organization
Organization Name: Southcentral Foundation Dental Dhat
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHCENTRAL FOUNDATION
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 15, 2010
Last Updated: Mar 15, 2010

Practice Location

Address: 4341 TUDOR CENTRE DR
City: Anchorage
State: Alaska
ZIP Code: 99508-5904
Phone: (907) 317-6070

Authorized Official

Name: KATHRYN S MILLER
Title: PATIENT ACCOUNTS MANAGER- DENTAL
Phone: (907) 317-6070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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