Organization
SOUTHEAST DENTAL CENTERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT BROOKSHIRE DDS (PRES)
(907) 826-2273
Entity
Organization
Contact information
Practice address
407 SPRUCE STREET, CRAIG, AK 99921
(907) 826-2273
Mailing address
PO BOX 168, CRAIG, AK 99921-0168
(907) 826-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
279670
AK
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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