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Organization

FRESH DENTAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PARISA RAHMANIAN DDS (DENTIST)
(907) 276-1050
Entity
Organization

Contact information

Practice address
900 W FIREWEED LN, ANCHORAGE, AK 99503
(907) 276-1050
(907) 279-2242
Mailing address
900 W FIREWEED LN, ANCHORAGE, AK 99503-2558
(907) 276-1050
(907) 279-2242

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1359
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002847
AK
05
1684801
AK
Enumeration date
06/27/2018
Last updated
08/22/2018
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