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Organization
SOUTHCENTRAL FOUNDATION DENTAL DHAT
Active
Organization
SOUTHCENTRAL FOUNDATION DENTAL DHAT
Active
Parent organization
SOUTHCENTRAL FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCENTRAL FOUNDATION
Authorized official
KATHRYN S MILLER (PATIENT ACCOUNTS MANAGER- DENTAL)
(907) 317-6070
Entity
Organization
Contact information
Practice address
4341 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5904
(907) 317-6070
(806) 794-1919
Mailing address
PO BOX 196320, ANCHORAGE, AK 99519-6320
(907) 317-6070
(806) 794-1919
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
AK
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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