Valley Orthodontics Llc | |
1001 Usa Cir Wasilla AK 99654-7198 | |
(907) 376-1510 | |
Not Available |
Full Name | Valley Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1001 Usa Cir, Wasilla, Alaska |
Authorized Official Name and Position | Brian David Hartman (OWNER/ORTHODONTIST) |
Authorized Official Contact | 9073761510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Valley Orthodontics Llc 1001 Usa Cir Wasilla AK 99654-7198 Ph: (907) 376-1510 | Valley Orthodontics Llc 1001 Usa Cir Wasilla AK 99654-7198 Ph: (907) 376-1510 |
NPI Number | 1164441119 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164441119 | NPI | - | NPPES |
01334405 | Other | AK | UNITED CONCORDIA PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 420264 (Alaska) | Primary |
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