Organization
71 17 NORTH FAMILY DENTISTRY, LLC
Active
Parent organization
SPRUCE ROOTS FAMILY DENTISTRY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRUCE ROOTS FAMILY DENTISTRY, LLC
Authorized official
CHRIS WILLIS (BUSINESS MANAGER)
(907) 687-3491
Entity
Organization
Contact information
Practice address
1616 OKPIK ST, UQTIAGVIK, AK 99723
(907) 888-0057
(907) 479-6410
Mailing address
4001 GEIST RD STE 5, FAIRBANKS, AK 99709-3569
(907) 888-0057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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