Organization
R C GREGORIN II DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHARLES GREGORIN II DDS (MEMBER)
(907) 333-2061
Entity
Organization
Contact information
Practice address
6901 E TUDOR RD, SUITE #9, ANCHORAGE, AK 99507-1241
(907) 333-5522
(907) 333-5707
Mailing address
6105 EASTWOOD CT, ANCHORAGE, AK 99504-4430
(907) 333-2061
(907) 868-3136
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1034
AK
Other
Enumeration date
05/21/2007
Last updated
07/23/2007
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