Individual
DR. THOMAS NELSON WANAT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-1729
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-1729
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
111046
AK
Other
Enumeration date
03/23/2016
Last updated
07/27/2016
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