Organization
BINKLEY STREET DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALLEN KOBYLARZ DDS (DENTIST)
(907) 262-6393
Entity
Organization
Contact information
Practice address
246 N BINKLEY STREET, SUITE B, SOLDOTNA, AK 99669-7522
(907) 262-6393
(907) 262-6244
Mailing address
246 N BINKLEY STREET, SUITE B, SOLDOTNA, AK 99669-7522
(907) 262-6393
(907) 262-6244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1091
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD47171
—
AK
Enumeration date
06/18/2007
Last updated
08/22/2020
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