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Organization

PATRICK G DORMAN DDS PC

Active
Other names
Century Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ZONA MAE MULLINS (OFFICE MANAGER)
(907) 561-2475
Entity
Organization

Contact information

Practice address
3501 DENALI ST, SUITE 302, ANCHORAGE, AK 99503-4039
(907) 561-2475
(907) 562-0786
Mailing address
3501 DENALI ST, SUITE 302, ANCHORAGE, AK 99503-4039
(907) 561-2475
(907) 562-0786

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1327
AK
1223G0001X
General Practice Dentistry
683
AK
1223G0001X
General Practice Dentistry
Primary
697
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD06971
AK
05
DD33022
AK
Enumeration date
03/11/2010
Last updated
03/11/2010
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