Individual
DR. REBECCA MARIE VANLAEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4076 NEELY ROAD, ROOM 3C-404, ATTN: MCUC-MMD, FORT WAINWRIGHT, AK 99703
(901) 361-6028
Mailing address
4076 NEELY ROAD, ROOM 3C-404, ATTN: MCUC-MMD, FORT WAINWRIGHT, AK 99703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
H4739
OR
Other
Enumeration date
06/30/2022
Last updated
08/02/2023
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