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34300 S. Talkeetna Spur Rd, Talkeetna AK 99676-9701 | |
(907) 733-2273 | |
(907) 733-1735 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 34300 S. Talkeetna Spur Rd,, Talkeetna, Alaska |
Authorized Official Name and Position | Valeca Brickel (FINANCIAL DIRECTOR) |
Authorized Official Contact | 9077332273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hc 89 Box 8190 Talkeetna AK 99676-9701 Ph: (907) 733-2273 | 34300 S. Talkeetna Spur Rd, Talkeetna AK 99676-9701 Ph: (907) 733-2273 |
NPI Number | 1790802486 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/20/2009 |
Identifier | Type | State | Issuer |
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1790802486 | NPI | - | NPPES |
DDG83FQ | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 77895 (Alaska) | Primary |