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Organization
SOUTHCENTRAL FOUNDATION
Active
Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
SCF Dental OR
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN S MILLER CPC, CDC (PATIENT ACCOUNTS MANAGER)
(907) 317-6070
Entity
Organization
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 317-6070
(907) 729-5178
Mailing address
PO BOX 35151, SEATTLE, WA 98124-5198
(907) 317-6070
(907) 729-5178
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/23/2014
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