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Organization

MAURICE J WELCH DDS A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAURICE JAMES WELCH DDS (DENTIST/OWNER)
(907) 563-4844
Entity
Organization

Contact information

Practice address
4450 CORDOVA ST STE 210, ANCHORAGE, AK 99503-7273
(907) 563-4844
(907) 562-5758
Mailing address
4450 CORDOVA ST STE 210, ANCHORAGE, AK 99503-7273
(907) 563-4844
(907) 562-5758

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD0553
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003056
AK
01
DD0553
STATE OF ALASKA LICENSE NUMBER
AK
Enumeration date
01/11/2017
Last updated
04/10/2017
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