Organization
ALASKA DENTAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRAN SCHEUFFELE (PRACTICE MANGER)
(907) 248-7275
Entity
Organization
Contact information
Practice address
110 E SWANSON AVE, WASILLA, AK 99654-7024
(907) 376-5207
Mailing address
110 E SWANSON AVE, WASILLA, AK 99654-7024
(907) 376-5207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1308
AK
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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