Individual
DR. MICHAEL OGDEN MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
(907) 743-7202
Mailing address
10834 SPLENDOR LOOP, EAGLE RIVER, AK 99577-8197
(801) 787-0982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25664
TX
Other
Enumeration date
07/15/2010
Last updated
01/09/2019
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