Organization
MOLAR ENTERPRISE, INC.
Active
Other names
Timbercrest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CHARLES ANDERSON DDS (PRESIDENT)
(907) 895-4274
Entity
Organization
Contact information
Practice address
2270 NISTLER RD, DELTA JUNCTION, AK 99737-0985
(907) 895-4274
(907) 895-4276
Mailing address
PO BOX 985, DELTA JUNCTION, AK 99737-0985
(907) 895-4274
(907) 895-4276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD08701
—
AK
05
—
DDG033
—
AK
Enumeration date
06/23/2010
Last updated
07/23/2013
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