Organization
TUNDRA KIDS DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE A ROALOFS DMD (PEDIATRIC DENTIST)
90072325135
Entity
Organization
Contact information
Practice address
1000 GREG KRUSCHEK AVE., NOME, AK 99762
(907) 443-3309
Mailing address
2051 GLACIER ST, ANCHORAGE, AK 99508-3723
(907) 232-5135
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1003
AK
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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