Organization
GEORGE JEDLICKA DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A JEDLICKA DMD (DENTIST)
(907) 260-4700
Entity
Organization
Contact information
Practice address
44604 STERLING HWY#D, SOLDOTNA, AK 99669
(907) 260-4700
(907) 260-4004
Mailing address
44604 STERLING HWY#D, SOLDOTNA, AK 99669
(907) 260-4700
(907) 260-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AK#1106
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD11061
—
AK
Enumeration date
05/07/2012
Last updated
05/07/2012
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