Organization
DENIS S. CORRAL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS S. CORRAL (PRESIDENT / OWNER)
(907) 694-6640
Entity
Organization
Contact information
Practice address
11901 BUSINESS BLVD., #201, EAGLE RIVER, AK 99577-7701
(907) 694-6640
(907) 694-6681
Mailing address
11901 BUSINESS BLVD., #201, EAGLE RIVER, AK 99577-7701
(907) 694-6640
(907) 694-6681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AA552
AK
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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