Organization
SAME DAY DENTAL PALMER L.L.C.
Active
Other names
Same Day Dental Palmer
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES F COLE DMD (DENTIST/OWNER)
(907) 631-3630
Entity
Organization
Contact information
Practice address
125 W EVERGREEN AVE, PALMER, AK 99645-6908
(616) 902-4077
(888) 341-5659
Mailing address
125 W EVERGREEN AVE, PALMER, AK 99645-6908
(616) 902-4077
(888) 341-5659
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
628
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1597353
—
AK
Enumeration date
12/08/2017
Last updated
06/11/2019
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