Individual
DR. GEORGE A JEDLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
44604 STERLING HWY #D, SOLDOTNA, AK 99669-0000
(907) 260-4700
(907) 260-4004
Mailing address
312 W BERING, SOLDOTNA, AK 99669-0000
(907) 262-2476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1106
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD11061
—
AK
Enumeration date
08/16/2006
Last updated
07/08/2007
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