Organization
SUMMIT DENTAL LAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SANDERS DMD (OWNER)
(907) 694-8234
Entity
Organization
Contact information
Practice address
13015 OLD GLENN HWY STE 150, EAGLE RIVER, AK 99577-7562
(907) 696-5227
Mailing address
13015 OLD GLENN HWY STE 150, EAGLE RIVER, AK 99577-7562
(907) 696-5227
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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