Organization
NINILCHIK FAMILY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZESTIVINAL ZOUBEK DDS (OWNER)
(907) 567-4444
Entity
Organization
Contact information
Practice address
66334 ASPEN ST., NINILCHIK, AK 99639
(907) 567-4444
(907) 567-4446
Mailing address
P.O. BOX 39450, NINILCHIK, AK 99639
(907) 567-4444
(907) 567-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1095
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD7097
—
AK
Enumeration date
02/17/2009
Last updated
02/17/2009
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