Organization
JAMES M YASSICK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M YASSICK D.D.S. (PRESIDENT)
(907) 694-2409
Entity
Organization
Contact information
Practice address
13012 OLD GLENN HWY STE 102, EAGLE RIVER, AK 99577-7568
(907) 694-2409
(907) 694-2451
Mailing address
13012 OLD GLENN HWY STE 102, EAGLE RIVER, AK 99577-7568
(907) 694-2409
(907) 694-2451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D 386
AK
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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