| Alaska Endodontic Specialists Llc | |
|
4001 Lake Otis Pkwy Suite 202 Anchorage AK 99508-5211 | |
| (907) 334-9995 | |
| (907) 334-9951 |
| Full Name | Alaska Endodontic Specialists Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4001 Lake Otis Pkwy, Anchorage, Alaska |
| Authorized Official Name and Position | Michael J Mauger (PARTNER) |
| Authorized Official Contact | 9073349995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Endodontic Specialists Llc 4001 Lake Otis Pkwy Suite 202 Anchorage AK 99508-5211 Ph: (907) 334-9995 | Alaska Endodontic Specialists Llc 4001 Lake Otis Pkwy Suite 202 Anchorage AK 99508-5211 Ph: (907) 334-9995 |
| NPI Number | 1801951884 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801951884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 290934 (Alaska) | Primary |
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