Organization
ALASKA CENTER FOR DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MICHAEL SAGE II DDS (OWNER/DENTIST)
(907) 373-8455
Entity
Organization
Contact information
Practice address
418 N MAIN ST, WASILLA, AK 99654-7018
(907) 373-8455
(907) 373-8456
Mailing address
418 N MAIN ST, WASILLA, AK 99654-7018
(907) 373-8455
(907) 373-8456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1320
AK
1223G0001X
General Practice Dentistry
Primary
939
AK
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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