Organization
AESTHETIC DENTAL GROUP LLC
Active
Other names
Aesthetic Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HARRISON (OFFICE MANAGER)
(907) 229-2228
Entity
Organization
Contact information
Practice address
1551 W PARKS HWY, WASILLA, AK 99654-6933
(907) 357-6684
Mailing address
10928 EAGLE RIVER RD, EAGLE RIVER, AK 99577-8078
(907) 622-3000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/30/2022
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