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Individual

DR. DANIELLE M LARUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4361 BONIFACE PKWY, ANCHORAGE, AK 99504-4316
(907) 333-1211
(907) 333-8600
Mailing address
2710 FOREST PARK DR, ANCHORAGE, AK 99517-1385
(907) 333-1211
(907) 333-8600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1211
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD5419
AK
Enumeration date
05/30/2007
Last updated
07/08/2007
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