Organization
AOFS VAN LEEUWEN PC
Active
Other names
Alaska Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BILLIE JO MARTIN (EXECUTIVE DIRECTOR)
(907) 452-4101
Entity
Organization
Contact information
Practice address
1275 SADLER WAY STE 202, FAIRBANKS, AK 99701-3175
(907) 452-4101
Mailing address
1275 SADLER WAY STE 202, FAIRBANKS, AK 99701-3175
(907) 452-4101
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
09/12/2023
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