Individual
BRIAN NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5955 ZEAMER AVE BLDG 5955, ELMENDORF AFB, AK 99506-3702
(907) 580-5010
Mailing address
5955 ZEAMER AVE BLDG 5955, ELMENDORF AFB, AK 99506-3702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032317
IL
Other
Enumeration date
04/24/2019
Last updated
09/08/2021
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