Organization
ALASKA DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT M GARDINER (OWNER DENTIST)
(907) 561-3639
Entity
Organization
Contact information
Practice address
4000 OLD SEWARD HWY, SUITE 200, ANCHORAGE, AK 99503-6068
(907) 561-3639
(907) 562-5337
Mailing address
4000 OLD SEWARD HWY, SUITE 200, ANCHORAGE, AK 99503-6068
(907) 561-3639
(907) 562-5337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
875
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003211
—
AK
Enumeration date
01/13/2015
Last updated
01/13/2015
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