| Mabry And Mabry Dentistry, Llc | |
|
2601 Boniface Pkwy Ste 1 Anchorage AK 99504-3144 | |
| (907) 337-9448 | |
| (907) 337-4123 |
| Full Name | Mabry And Mabry Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2601 Boniface Pkwy Ste 1, Anchorage, Alaska |
| Authorized Official Name and Position | Lara M. Mabry (OWNER) |
| Authorized Official Contact | 9073379448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mabry And Mabry Dentistry, Llc 2601 Boniface Pkwy Ste 1 Anchorage AK 99504-3144 Ph: (907) 337-9448 | Mabry And Mabry Dentistry, Llc 2601 Boniface Pkwy Ste 1 Anchorage AK 99504-3144 Ph: (907) 337-9448 |
| NPI Number | 1154672558 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 09/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154672558 | NPI | - | NPPES |
| DD2601 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1200 (Alaska) | Primary |
| 261QD0000X | Clinic/center - Dental | 377 (Alaska) | Secondary |
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