| Kids Dental Tree Llc | |
|
1310 E Dimond Blvd Ste 3 Anchorage AK 99515-2031 | |
| (907) 336-7337 | |
| (907) 336-7338 |
| Full Name | Kids Dental Tree Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1310 E Dimond Blvd Ste 3, Anchorage, Alaska |
| Authorized Official Name and Position | Mark Keller (PRESIDENT) |
| Authorized Official Contact | 9073367337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Tree Llc 1310 E Dimond Blvd Ste 3 Anchorage AK 99515-2031 Ph: (907) 336-7337 | Kids Dental Tree Llc 1310 E Dimond Blvd Ste 3 Anchorage AK 99515-2031 Ph: (907) 336-7337 |
| NPI Number | 1932421849 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932421849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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