Organization
SOUTH ANCHORAGE FAMILY DENTISTRY LLC
Active
Other names
True North Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
549 W FIREWEED LN, ANCHORAGE, AK 99503-1927
(907) 274-5617
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/20/2016
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