Organization
DENALI DENTAL CARE
Active
Parent organization
EXCELLENCE IN DENTISTRY PUEBLO ONE
Other names
Excellence in Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELLENCE IN DENTISTRY PUEBLO ONE
Authorized official
KENDALL B SKINNER DMD (OWNER)
(907) 274-7691
Entity
Organization
Contact information
Practice address
625 E 34TH AVE, SUITE 200, ANCHORAGE, AK 99503-4154
(907) 274-7691
(907) 277-6142
Mailing address
625 E 34TH AVE, SUITE 200, ANCHORAGE, AK 99503-4154
(907) 274-7691
(907) 277-6142
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
10691
CO
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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