Organization
HEALTHY SMILES FOREVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY MOTT DDS (PRESIDENT AND CEO)
(763) 227-5222
Entity
Organization
Contact information
Practice address
5576 SAPPHIRE LOOP, ANCHORAGE, AK 99504-6000
(763) 227-5222
Mailing address
5576 SAPPHIRE LOOP, ANCHORAGE, AK 99504-6000
(763) 227-5222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1375
AK
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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