| Sun Mountain Dental Care Llc | |
|
2101 E Sun Mountain Ave #107 Wasilla AK 99654-9965 | |
| (907) 357-5757 | |
| Not Available |
| Full Name | Sun Mountain Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2101 E Sun Mountain Ave #107, Wasilla, Alaska |
| Authorized Official Name and Position | Todd Christensen (OWNER/MANAGER) |
| Authorized Official Contact | 9074414569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Mountain Dental Care Llc 5018 E 41 N Ririe ID 83443-5038 Ph: (907) 441-4569 | Sun Mountain Dental Care Llc 2101 E Sun Mountain Ave #107 Wasilla AK 99654-9965 Ph: (907) 357-5757 |
| NPI Number | 1952987000 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952987000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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