Organization
HARBOR VIEW DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LARRY CALL DMD (BUSINESS MANAGER)
(907) 602-4124
Entity
Organization
Contact information
Practice address
712 W 12TH ST, JUNEAU, AK 99801-1574
(907) 586-1188
(907) 586-4408
Mailing address
712 W 12TH ST, JUNEAU, AK 99801-1574
(907) 586-1188
(907) 586-4408
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0082
—
AK
Enumeration date
03/08/2012
Last updated
03/08/2012
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