Organization
AURORA DENTAL CLINIC, LLC
Active
Other names
Aurora Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEL JEAN DEDEKER D.D.S. (MEMBER/ORGANIZER)
(907) 376-8400
Entity
Organization
Contact information
Practice address
4501 E SNIDER DR, WASILLA, AK 99654-7604
(907) 376-8400
(907) 376-8402
Mailing address
4501 E SNIDER DR, WASILLA, AK 99654-7604
(907) 376-8400
(907) 676-8402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
845
AK
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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