Organization
SOUTH ANCHORAGE DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HEBERTSON DDS (PRESIDENT)
(907) 248-7275
Entity
Organization
Contact information
Practice address
9170 JEWEL LAKE ROAD, SUITE 201, ANCHORAGE, AK 99502
(907) 248-7275
(907) 248-7221
Mailing address
9170 JEWEL LAKE ROAD, SUITE 201, ANCHORAGE, AK 99502
(907) 248-7275
(907) 248-7221
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
1009
AK
126800000X
Dental Assistant
Primary
AA625
AK
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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