Individual
CHRISTY MARY JEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4200 LAKE OTIS PKWY, ANCHORAGE, AK 99508
(907) 562-1003
Mailing address
4200 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5226
(907) 562-1003
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
118813
AK
Other
Enumeration date
06/14/2011
Last updated
08/15/2018
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