Organization
FRONTIER ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMI JO GANUS (REVENUE CYCLE MANAGER)
(907) 865-5254
Entity
Organization
Contact information
Practice address
3220 PROVIDENCE DR STE E3-080, ANCHORAGE, AK 99508-4657
(907) 375-8785
(907) 375-8788
Mailing address
3220 PROVIDENCE DRIVE STE E3080, 3220 PROVIDENCE DRIVE STE E3080, ANCHORAGE, AK 99508-4657
(907) 375-8785
(907) 375-8788
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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