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Organization
MANN FAMILY DENTAL, LLC
Active
Organization
MANN FAMILY DENTAL, LLC
Active
Other names
Mann Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA ZALANKA (MANAGER)
(907) 903-6145
Entity
Organization
Contact information
Practice address
4641 FRONITER PLAZA DR, WASILLA, AK 99654
(907) 373-2227
Mailing address
4641 E FRONTIER PLAZA DR, WASILLA, AK 99654-6044
(907) 373-2227
(888) 357-2588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1676113
—
AK
Enumeration date
06/21/2017
Last updated
11/08/2022
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