| Family Medical Dental Center Of Alaska Inc | |
|
4361 Boniface Pkwy Anchorage AK 99504-4316 | |
| (907) 333-1211 | |
| (907) 333-8600 |
| Full Name | Family Medical Dental Center Of Alaska Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4361 Boniface Pkwy, Anchorage, Alaska |
| Authorized Official Name and Position | Meledath Gopinath (PRESIDENT) |
| Authorized Official Contact | 4258692238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Dental Center Of Alaska Inc Po Box 210549 Anchorage AK 99521-0549 Ph: (907) 333-1211 | Family Medical Dental Center Of Alaska Inc 4361 Boniface Pkwy Anchorage AK 99504-4316 Ph: (907) 333-1211 |
| NPI Number | 1104996214 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104996214 | NPI | - | NPPES |
| 29368 | Other | AK | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29368 (Alaska) | Primary |
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