Organization
VALLEY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WADE ROBINSON III DMD (OWNER)
(907) 376-3884
Entity
Organization
Contact information
Practice address
935 E WESTPOINT DR STE 201, WASILLA, AK 99654-7181
(907) 376-3884
(907) 373-7500
Mailing address
935 E WESTPOINT DR STE 201, WASILLA, AK 99654-7181
(907) 376-3884
(907) 373-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
991
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD2628
—
AK
Enumeration date
05/23/2012
Last updated
05/23/2012
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