Organization
SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
SEARHC Alicia Roberts Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HARRIS (SR. VP / CFO)
(907) 463-4000
Entity
Organization
Contact information
Practice address
13004 KLAWOCK HOLLIS HIGHWAY, KLAWOCK, AK 99925
(907) 755-4800
(907) 755-4806
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
70206
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003868
—
AK
Enumeration date
01/29/2007
Last updated
04/06/2021
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