Individual
JENNIFER MACINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-4200
Mailing address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
175435
AK
122300000X
Dentist
DD
NM
Other
Enumeration date
03/24/2017
Last updated
11/15/2021
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