Organization
ACD1, LLC
Active
Other names
Aurora Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA SASU (OFFICE MANAGER)
(907) 336-1234
Entity
Organization
Contact information
Practice address
3340 PROVIDENCE DR STE 552, ANCHORAGE, AK 99508-4643
(907) 336-1234
(907) 336-4321
Mailing address
3340 PROVIDENCE DR STE 552, ANCHORAGE, AK 99508-4643
(907) 336-1234
(907) 336-4321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/11/2019
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