Organization
MANN FAMILY DENTAL, LLC
Active
Other names
Mann Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA ZALANKA (MANAGER)
(907) 903-6145
Entity
Organization
Contact information
Practice address
4641 FRONITER PLAZA DR, WASILLA, AK 99654
(907) 373-2227
Mailing address
4641 E FRONTIER PLAZA DR, WASILLA, AK 99654-6044
(907) 373-2227
(888) 357-2588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1676113
—
AK
Enumeration date
06/21/2017
Last updated
11/08/2022
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