Organization
ALASKA ENDODONTIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MAUGER DMD (PARTNER)
(907) 334-9995
Entity
Organization
Contact information
Practice address
4001 LAKE OTIS PKWY, SUITE 202, ANCHORAGE, AK 99508-5211
(907) 334-9995
(907) 334-9951
Mailing address
4001 LAKE OTIS PKWY, SUITE 202, ANCHORAGE, AK 99508-5211
(907) 334-9995
(907) 334-9951
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
290934
AK
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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