Organization
MABRY AND MABRY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA M. MABRY DDS (OWNER)
(907) 337-9448
Entity
Organization
Contact information
Practice address
2601 BONIFACE PKWY STE 1, ANCHORAGE, AK 99504-3144
(907) 337-9448
(907) 337-4123
Mailing address
2601 BONIFACE PKWY STE 1, ANCHORAGE, AK 99504-3144
(907) 337-9448
(907) 337-4123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1200
AK
261QD0000X
Dental Clinic/Center
377
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD2601
—
AK
Enumeration date
09/25/2012
Last updated
09/25/2012
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