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Organization

ALASKA FAMILY DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS W FELDMAN DDS (PRESIDENT)
(907) 562-0958
Entity
Organization

Contact information

Practice address
405 W 36TH AVE STE 101, ANCHORAGE, AK 99503-5872
(907) 562-0958
(907) 562-6425
Mailing address
405 W 36TH AVE STE 101, ANCHORAGE, AK 99503-5872
(907) 562-0958
(907) 562-6425

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DDO559
AK
Enumeration date
02/05/2019
Last updated
02/05/2019
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