Organization
SOUTH GATE COSMETIC & IMPLANT DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY CHI HU DDS (CEO/PRESIDENT)
(907) 349-6466
Entity
Organization
Contact information
Practice address
12570 OLD SEWARD HWY STE 201, ANCHORAGE, AK 99515-3532
(907) 349-6466
(907) 260-3459
Mailing address
125 N BINKLEY ST, SOLDOTNA, AK 99669-7521
(907) 262-6466
(907) 260-3459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/20/2019
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