Organization
KIDS DENTAL TREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KELLER DDS (PRESIDENT)
(907) 336-7337
Entity
Organization
Contact information
Practice address
1310 E DIMOND BLVD STE 3, ANCHORAGE, AK 99515-2031
(907) 336-7337
(907) 336-7338
Mailing address
1310 E DIMOND BLVD STE 3, ANCHORAGE, AK 99515-2031
(907) 336-7337
(907) 336-7338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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