Organization
ADVANCED FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W CHRISTENSEN D.D.S (OWNER)
(907) 357-5018
Entity
Organization
Contact information
Practice address
1401 SOUTH SEWARD MERIDIAN PARKWAY, SUITE E, WASILLA, AK 99654
(907) 357-5018
(907) 864-1091
Mailing address
1401 SOUTH SEWARD MERIDIAN PARKWAY, SUITE E, WASILLA, AK 99654
(907) 357-5018
(907) 864-1091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1167
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134245087
—
AK
Enumeration date
05/11/2007
Last updated
01/29/2013
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