Organization
KODIAK AREA NATIVE ASSOCIATION
Active
Parent organization
KODIAK AREA NATIVE ASSOCIATION
Other names
Family Dentistry of Kodiak
Organization subpart
Yes
Provider details
NPI number
Legal business name
KODIAK AREA NATIVE ASSOCIATION
Authorized official
MICHAEL PFEFFER (CHIEF OPERATING OFFICER)
(907) 486-9800
Entity
Organization
Contact information
Practice address
1317 MILL BAY RD, KODIAK, AK 99615-6411
(907) 486-3291
(907) 486-9896
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9880
(907) 486-9896
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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