Organization
HOMER DENTAL CENTER INC
Active
Parent organization
HOMER DENTAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMER DENTAL CENTER, INC.
Authorized official
DR. VICKEY J. HODNIK D.D.S. (DENTIST)
(907) 235-7585
Entity
Organization
Contact information
Practice address
4014 LAKE ST., STE 210, HOMER, AK 99603
(907) 235-7585
(907) 235-7311
Mailing address
4014 LAKE ST., STE. 210, HOMER, AK 99603
(907) 235-7585
(907) 235-7311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
692
AK
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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