Organization
DR. JAY R. DERKSEN D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY R DERKSEN D.D.S. (PRESIDENT)
(907) 276-5418
Entity
Organization
Contact information
Practice address
880 N ST, SUITE 223, ANCHORAGE, AK 99501-3276
(907) 276-5418
(907) 274-6427
Mailing address
880 N ST, SUITE 223, ANCHORAGE, AK 99501-3276
(907) 276-5418
(907) 274-6427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA0474
AK
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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