Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
SEARHC Haines Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HARRIS (SR. VP / CFO)
(907) 463-4000
Entity
Organization
Contact information
Practice address
230 DALTON STREET, STE 102, HAINES, AK 99827-9982
(907) 766-6372
(907) 766-2581
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4074
(907) 463-1510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
70206
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003869
—
AK
Enumeration date
01/29/2007
Last updated
06/10/2021
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