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Organization

DENALI PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLINT C HENRIE D.M.D. (MEMBER LLC)
(907) 830-9771
Entity
Organization

Contact information

Practice address
2600 DENALI ST, SUITE 500, ANCHORAGE, AK 99503-2746
(907) 334-9543
(907) 334-9007
Mailing address
2600 DENALI ST, SUITE 500, ANCHORAGE, AK 99503-2746
(907) 334-9543
(907) 334-9007

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/07/2010
Last updated
07/07/2010
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