Organization
AESTHETICA MEDICAL SPA LLC
Active
Other names
Alaska Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MILLEN (OWNER)
(907) 562-2275
Entity
Organization
Contact information
Practice address
135 W DIMOND BLVD STE 104, ANCHORAGE, AK 99515-1907
(907) 562-2275
(907) 563-7929
Mailing address
200 WEST 34TH AVENUE PMB 1008, ANCHORAGE, AK 99503-5650
(907) 350-9110
(907) 563-7929
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
432761
AK
Other
Enumeration date
06/11/2006
Last updated
03/25/2021
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