Organization
MOLAR BEAR PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER G ROSENVALL DDS (CEO)
(801) 592-7595
Entity
Organization
Contact information
Practice address
609 S KNIK GOOSE BAY RD STE D, WASILLA, AK 99654-8079
(907) 376-6527
Mailing address
609 S KNIK GOOSE BAY RD STE D, WASILLA, AK 99654-8079
(907) 376-6527
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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