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Individual

DAVID A ALBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
130 CARLANNA LAKE ROAD, KETCHIKAN, AK 99901
(907) 225-9631
(907) 225-4591
Mailing address
130 CARLANNA LAKE ROAD, KETCHIKAN, AK 99901
(907) 225-9631
(907) 225-4591

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
754
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD0754
AK
Enumeration date
09/11/2006
Last updated
07/08/2007
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