Individual
DR. ANNEMARIE JOHNSON BENAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4501 E SNIDER DR, WASILLA, AK 99654-7604
(907) 376-8400
Mailing address
4501 E SNIDER DR, WASILLA, AK 99654-7604
(907) 376-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1470
AK
122300000X
Dentist
27973
TX
Other
Enumeration date
01/08/2013
Last updated
08/05/2013
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