Offshore Drilling Llc | |
Po Box 18047 Coffman Cove AK 99918-0047 | |
(509) 999-1214 | |
Not Available |
Full Name | Offshore Drilling Llc |
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Speciality | Dentist - Dental Public Health |
Location | Po Box 18047, Coffman Cove, Alaska |
Authorized Official Name and Position | Victor Sletvold Stime (CEO) |
Authorized Official Contact | 5099991214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Offshore Drilling Llc 21702 N Perry Rd Colbert WA 99005-9487 Ph: (509) 999-1214 | Offshore Drilling Llc Po Box 18047 Coffman Cove AK 99918-0047 Ph: (509) 999-1214 |
NPI Number | 1982133682 |
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Provider Enumeration Date | 06/06/2017 |
Last Update Date | 06/06/2017 |
Identifier | Type | State | Issuer |
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1982133682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | 116141 (Alaska) | Secondary |
261QD0000X | Clinic/center - Dental | 116141 (* (Not Available)) | Secondary |