Organization
ALASKA DENTAL OUTREACH CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARD TOWLE (SECRETARY OF THE BOARD OF DIRECTORS)
(907) 563-3011
Entity
Organization
Contact information
Practice address
9170 JEWEL LAKE RD STE 203, ANCHORAGE, AK 99502-5390
(907) 563-3011
(907) 563-3009
Mailing address
9170 JEWEL LAKE RD STE 203, ANCHORAGE, AK 99502-5390
(907) 563-3011
(907) 563-3009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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