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Organization

ERIC P. BUETOW, D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN MADDEN (OFFICE ADMINISTRATOR)
(907) 488-0861
Entity
Organization

Contact information

Practice address
2933 HORSESHOE WAY, NORTH POLE, AK 99705-6122
(907) 488-0861
Mailing address
PO BOX 56258, NORTH POLE, AK 99705-1258
(907) 488-0861

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
523
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DDO523
AK
Enumeration date
10/15/2007
Last updated
10/15/2007
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