Organization
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
SEARHC OCEANSIDE DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HARRIS (SR VP/CFO)
(907) 463-4000
Entity
Organization
Contact information
Practice address
15 W EXCEL, PETERSBURG, AK 99833
(907) 772-3320
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4074
(907) 463-1510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70206
STATE OF ALASKA
AK
Enumeration date
04/02/2021
Last updated
04/02/2021
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