Organization
ANCHORAGE DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN G HOWARD (OWNER DENTIST)
(907) 562-0035
Entity
Organization
Contact information
Practice address
4200 LAKE OTIS PKWY, 201, ANCHORAGE, AK 99508-5226
(907) 562-0035
Mailing address
4200 LAKE OTIS PKWY, 201, ANCHORAGE, AK 99508-5226
(907) 562-0035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1328
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002878
—
AK
Enumeration date
01/13/2015
Last updated
01/13/2015
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