Organization
SOUTHHOUSE DENTAL, LLC
Active
Other names
K-Beach Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY SCOTT SORHUS DDS (OWNER/DENTIST)
(406) 781-7509
Entity
Organization
Contact information
Practice address
36892 MALLARD RD, KENAI, AK 99611-6434
(900) 728-3921
(907) 283-3184
Mailing address
120 TRADING BAY RD STE 280, KENAI, AK 99611-7781
(907) 335-0363
(907) 335-0364
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1380
AK
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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