| Mann Family Dental | |
|
4641 Froniter Plaza Dr Wasilla AK 99654 | |
| (907) 373-2227 | |
| Not Available |
| Full Name | Mann Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4641 Froniter Plaza Dr, Wasilla, Alaska |
| Authorized Official Name and Position | Alicia Zalanka (MANAGER) |
| Authorized Official Contact | 9079036145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mann Family Dental 4641 E Frontier Plaza Dr Wasilla AK 99654-6044 Ph: (907) 373-2227 | Mann Family Dental 4641 Froniter Plaza Dr Wasilla AK 99654 Ph: (907) 373-2227 |
| NPI Number | 1790205763 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790205763 | NPI | - | NPPES |
| 1676113 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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