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Organization
THAYNE DAWSON DMD LLC
Active
Organization
THAYNE DAWSON DMD LLC
Active
Other names
Northwind Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAYNE JORAY DAWSON DMD (OWNER)
(907) 707-9421
Entity
Organization
Contact information
Practice address
3719 E MERIDIAN LOOP STE B, WASILLA, AK 99654-7273
(907) 373-2440
(907) 373-1920
Mailing address
6110 N TALGACH VIEW DR, WASILLA, AK 99654-9044
(208) 351-6538
(907) 373-1920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
07/31/2023
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