Organization
ALASKAN FAMILY DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG HUGH MULLETT DDS (OWNER)
(907) 376-0452
Entity
Organization
Contact information
Practice address
281 N MAIN ST STE 201, WASILLA, AK 99654-7046
(907) 376-0452
(907) 376-0462
Mailing address
281 N MAIN ST STE 201, WASILLA, AK 99654-7046
(907) 376-0452
(907) 376-0462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1072
AK
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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