Individual
DR. THOMAS NELSON WANAT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3340 PROVIDENCE DR, SUITE 560, ANCHORAGE, AK 99508-4616
(907) 562-6648
(907) 561-8385
Mailing address
20313 NEW ENGLAND DR, EAGLE RIVER, AK 99577-7114
(907) 696-1069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AK986
AK
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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