Organization
SOUTHCENTRAL FOUNDATION DENTAL DHAT
Active
Parent organization
SOUTHCENTRAL FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHCENTRAL FOUNDATION
Authorized official
KATHRYN S MILLER (PATIENT ACCOUNTS MANAGER- DENTAL)
(907) 317-6070
Entity
Organization
Contact information
Practice address
4341 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5904
(907) 317-6070
(806) 794-1919
Mailing address
PO BOX 196320, ANCHORAGE, AK 99519-6320
(907) 317-6070
(806) 794-1919
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
AK
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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