Organization
JUNEAU PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA BLANCO DMD (PRESIDENT/DOCTOR)
(907) 523-5437
Entity
Organization
Contact information
Practice address
9309 GLACIER HIGHWAY, STE B103, JUNEAU, AK 99801
(907) 523-5437
Mailing address
9309 GLACIER HIGHWAY, STE B103, JUNEAU, AK 99801
(907) 523-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104062
AK
Other
Enumeration date
09/20/2015
Last updated
02/24/2023
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