Organization
RESL LLC
Active
Other names
Aurora Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LYKE DMD (OWNER)
(971) 221-2784
Entity
Organization
Contact information
Practice address
121 W FIREWEED LN STE 280, ANCHORAGE, AK 99503-2035
(907) 258-7060
Mailing address
121 W FIREWEED LN STE 280, ANCHORAGE, AK 99503-2035
(907) 258-7060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073892881
NPI
AK
01
—
1285967471
NPI
AK
01
—
1518076686
NPI
AK
01
—
1659560969
NPI
AK
Enumeration date
01/07/2021
Last updated
01/07/2021
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