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Organization
ARCTIC ORAL SURGERY, LLC
Active
Organization
ARCTIC ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO MANUEL RIOS-ANDERSEN DMD (ORAL SURGEON)
(907) 726-5600
Entity
Organization
Contact information
Practice address
12641 OLD GLENN HWY STE 103, EAGLE RIVER, AK 99577
(907) 726-5600
(907) 726-5602
Mailing address
12641 OLD GLENN HWY STE 103, EAGLE RIVER, AK 99577-7040
(907) 726-5600
(907) 726-5602
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
07/26/2018
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