Organization
FAMILY MEDICAL DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE KNIGHT (EXECUTIVE DIRECTOR)
(907) 333-1211
Entity
Organization
Contact information
Practice address
4361 BONIFACE PKWY, ANCHORAGE, AK 99504-4316
(907) 333-1211
(907) 333-8600
Mailing address
4361 BONIFACE PKWY, ANCHORAGE, AK 99504-4316
(907) 333-1211
(907) 333-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
978293
AK
261QH0100X
Health Service Clinic/Center
978293
AK
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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