Organization
ALASKA CENTER FOR CLEFT AND CRANIOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DASHOW MD, DDS (SURGEON)
(907) 222-5052
Entity
Organization
Contact information
Practice address
3909 ARTIC BLVD STE 404, ANCHORAGE, AK 99503-5769
(907) 222-5052
(907) 222-5051
Mailing address
3909 ARTIC BLVD STE 404, ANCHORAGE, AK 99503-5769
(907) 222-5052
(907) 222-5051
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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