Organization
OTTER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH CHRISTOFFER OTT DMD (OWNER)
(907) 452-7007
Entity
Organization
Contact information
Practice address
1919 LATHROP ST, SUITE 211, FAIRBANKS, AK 99701-5937
(907) 452-7007
Mailing address
1919 LATHROP ST, SUITE 211, FAIRBANKS, AK 99701-5937
(907) 452-7007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1348
AK
Other
Enumeration date
10/20/2016
Last updated
03/22/2019
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