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Individual

ALFRED M LAND III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
10928 EAGLE RIVER RD, SUITE 250, EAGLE RIVER, AK 99577-8038
(907) 696-4987
(907) 696-4991
Mailing address
10928 EAGLE RIVER RD, SUITE 250, EAGLE RIVER, AK 99577-8038
(907) 696-4987
(907) 696-4991

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6181
OR
1223G0001X
General Practice Dentistry
662
AK

Other

Enumeration date
07/27/2006
Last updated
11/21/2014
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