Organization
ALLEN DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD C. ALLEN DDS (OWNER/MEMBER)
(907) 622-6233
Entity
Organization
Contact information
Practice address
17101 SNOWMOBILE LN, SUITE 107, EAGLE RIVER, AK 99577-7043
(907) 622-6233
(907) 622-6232
Mailing address
17101 SNOWMOBILE LN, SUITE 107, EAGLE RIVER, AK 99577-7043
(907) 622-6233
(907) 622-6232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1327
AK
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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