Todd C Miles Llc Dba Delaney Park Dental | |
880 N St Ste 301 Anchorage AK 99501-3276 | |
(907) 276-7787 | |
(907) 258-1685 |
Full Name | Todd C Miles Llc Dba Delaney Park Dental |
---|---|
Speciality | Dentist |
Location | 880 N St Ste 301, Anchorage, Alaska |
Authorized Official Name and Position | Stacie Michelle Garrabrant (OFFICE MANAGER) |
Authorized Official Contact | 9072767787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Todd C Miles Llc Dba Delaney Park Dental 880 N St Ste 301 Anchorage AK 99501-3276 Ph: (907) 276-7787 | Todd C Miles Llc Dba Delaney Park Dental 880 N St Ste 301 Anchorage AK 99501-3276 Ph: (907) 276-7787 |
NPI Number | 1528541752 |
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Provider Enumeration Date | 09/13/2018 |
Last Update Date | 09/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528541752 | NPI | - | NPPES |
122989 | Other | AK | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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