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Individual

DR. ANTONIO S PARAMESWARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2000 ABBOTT RD STE 200, ANCHORAGE, AK 99507-3878
(907) 562-9939
Mailing address
2000 ABBOTT RD STE 200, ANCHORAGE, AK 99507-3878
(907) 602-1151

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D1343
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
AK
Enumeration date
07/07/2010
Last updated
12/29/2020
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