Organization
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH WILLIARD DDS (CLINICAL SITE DIRECTOR)
(907) 729-5602
Entity
Organization
Contact information
Practice address
610 AKIACHUK DR., SUITE 208, ANCHORAGE, AK 99559
(907) 543-0980
(907) 543-0989
Mailing address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
(907) 729-5600
(907) 729-5610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6615
NC
Other
Enumeration date
10/08/2010
Last updated
10/14/2010
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