Dental- Eklutna Dental Clinic | |
26341 Eklutna Village Rd Chugiak AK 99567-5148 | |
(907) 688-6031 | |
Not Available |
Full Name | Dental- Eklutna Dental Clinic |
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Speciality | Clinic/center - Dental |
Location | 26341 Eklutna Village Rd, Chugiak, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
Authorized Official Contact | 9077294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental- Eklutna Dental Clinic Po Box 35151 Seattle WA 98124-5151 Ph: () - | Dental- Eklutna Dental Clinic 26341 Eklutna Village Rd Chugiak AK 99567-5148 Ph: (907) 688-6031 |
NPI Number | 1487121331 |
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Provider Enumeration Date | 10/30/2018 |
Last Update Date | 10/10/2023 |
Identifier | Type | State | Issuer |
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1487121331 | NPI | - | NPPES |
1690189 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |