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Organization

ALISON WALSH, LLC

Active
Parent organization
POLAR BEAR DENTAL CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
POLAR BEAR DENTAL CARE
Authorized official
ALISON WALSH DDS (PEDIATRIC DENTIST)
(907) 602-6262
Entity
Organization

Contact information

Practice address
2601 BONIFACE PKWY STE 2, ANCHORAGE, AK 99504-3144
(907) 337-9474
Mailing address
1110 W 80TH AVE, ANCHORAGE, AK 99518-2423
(907) 602-6262

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1579616
AK
Enumeration date
12/09/2019
Last updated
12/09/2019
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