Organization
VALLEY NEIGHBORHOOD DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX MALCOM DMD (OWNER)
(907) 602-8649
Entity
Organization
Contact information
Practice address
304 W EVERGREEN AVE STE 101B, PALMER, AK 99645-6970
(907) 745-1966
Mailing address
304 W EVERGREEN AVE STE 101B, PALMER, AK 99645-6970
(907) 745-1966
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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