Organization
SOLDOTNA FAMILY DENTAL
Active
Other names
Ridgeway Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
36297 KENAI SPUR HWY, SOLDOTNA, AK 99669-7106
(907) 262-8404
Mailing address
36297 KENAI SPUR HWY, SOLDOTNA, AK 99669-7106
(072) 628-4049
(907) 262-9442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
04/18/2023
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