Organization
ALYESKA PEDIATRIC DENTISTRY, LLC
Active
Other names
Anchorage Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EASTE WARNICK DDS (OWNER/PEDIATRIC DENTIST)
(702) 812-7861
Entity
Organization
Contact information
Practice address
4200 LAKE OTIS PKWY STE 201, ANCHORAGE, AK 99508-5226
(907) 562-1003
(907) 562-1006
Mailing address
3818 WESTMINSTER WAY, ANCHORAGE, AK 99508-4834
(702) 812-7861
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730591298
—
AK
Enumeration date
02/23/2022
Last updated
02/23/2022
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