Organization
SUNSHINE COMMUNITY HEALTH CENTER, INC
Active
Other names
Sunshine Communith Health Willow Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SIMPSON (CREDENTAILING SPECIALIST)
(907) 733-2273
Entity
Organization
Contact information
Practice address
24091 W LONG LAKE RD, WILLOW, AK 99688-0519
(907) 733-2273
(907) 733-1735
Mailing address
24091 W LONG LAKE ROAD, WILLOW, AK 99688-9999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
77895
AK
Other
Enumeration date
10/23/2014
Last updated
12/03/2024
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