Organization
SPALDING DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SPALDING DMD (MEMBER)
(509) 680-4396
Entity
Organization
Contact information
Practice address
4127 VISTA CT, ANCHORAGE, AK 99508-5729
(509) 680-4396
Mailing address
4127 VISTA CT, ANCHORAGE, AK 99508-5729
(509) 680-4396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
1316
AK
261QD0000X
Dental Clinic/Center
Primary
1353
AK
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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