Organization
DIMOND CHILDRENS DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE EDWARD GRAVES DDS (PRESIDENT)
(907) 336-7337
Entity
Organization
Contact information
Practice address
1310 EAST DIMOND BLVD #3, ANCHORAGE, AK 99515
(907) 336-7337
(907) 336-7338
Mailing address
1310 EAST DIMOND BLVD #3, ANCHORAGE, AK 99515
(907) 336-7337
(907) 336-7338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
432159
AK
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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