Organization
PETE B. HIGGINS DDS LLC
Active
Other names
Four Corners Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
PETE B HIGGINS DDS (DENTIST)
(907) 258-3384
Entity
Organization
Contact information
Practice address
3901 RASPBERRY RD, ANCHORAGE, AK 99502-1973
(907) 258-3384
(907) 258-3390
Mailing address
3901 RASPBERRY RD, ANCHORAGE, AK 99502-1973
(907) 258-3384
(907) 258-3390
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1012
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD10121
—
AK
Enumeration date
11/01/2006
Last updated
05/12/2014
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