Organization
ZIMIN FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMERON SHEA ZIMIN DMD (OWNER)
(907) 952-2502
Entity
Organization
Contact information
Practice address
2601 BONIFACE PKWY STE 3, ANCHORAGE, AK 99504-3144
(907) 333-9591
Mailing address
2601 BONIFACE PKWY STE 3, ANCHORAGE, AK 99504-3144
(907) 333-9591
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685809
—
AK
Enumeration date
01/30/2023
Last updated
02/13/2023
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