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Organization
BRETT A. BASS, DDS PC
Active
Organization
BRETT A. BASS, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT ALAN BASS DDS (OWNER)
(907) 486-3291
Entity
Organization
Contact information
Practice address
1317 MILL BAY RD, KODIAK, AK 99615-6411
(907) 486-3291
(907) 486-3015
Mailing address
1317 MILL BAY RD, KODIAK, AK 99615-6411
(907) 486-3291
(907) 486-3015
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D948
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
886257
UNITED CONCORDIA
AK
05
—
DD02942
—
AK
Enumeration date
07/02/2008
Last updated
07/02/2008
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