Individual
DR. CAROLE B. MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 SEAWOLF DR., ANCHORAGE, AK 99508-4614
(907) 786-6960
(907) 786-6937
Mailing address
3211 PROVIDENCE DR., AHS131, ANCHORAGE, AK 99508-4614
(907) 786-6960
(907) 786-6937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA824
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA824
DENTAL LICENSE
AK
Enumeration date
04/02/2009
Last updated
04/02/2009
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