Organization
RC DENTAL, LLC
Active
Other names
River City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY SCOTT SORHUS D.D.S. (DENTIST/OWNER)
(907) 335-0363
Entity
Organization
Contact information
Practice address
120 TRADING BAY RD., #280, KENAI, AK 99611
(907) 335-0363
(907) 335-0364
Mailing address
120 TRADING BAY RD., #280, KENAI, AK 99611
(907) 335-0363
(907) 335-0364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1573792
—
AK
Enumeration date
06/08/2011
Last updated
09/27/2023
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