Organization
PHILIP J LATTEIER DDS LLC
Active
Other names
Alaska Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP J LATTEIER DDS (OWNER)
(907) 562-6648
Entity
Organization
Contact information
Practice address
3340 PROVIDENCE DR STE 560, ANCHORAGE, AK 99508-4643
(907) 562-6648
Mailing address
3340 PROVIDENCE DR STE 560, ANCHORAGE, AK 99508-4643
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
128215
AK
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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