Willow Dental | |
23375 W Beluga Ave Suite B Willow AK 99688 | |
(907) 631-3521 | |
Not Available |
Full Name | Willow Dental |
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Speciality | Dentist |
Location | 23375 W Beluga Ave, Willow, Alaska |
Authorized Official Name and Position | Jason Lane (OWNER/MANAGER) |
Authorized Official Contact | 5202276521 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Willow Dental 2000 S Hygrade Cir Wasilla AK 99654-8561 Ph: (907) 631-3521 | Willow Dental 23375 W Beluga Ave Suite B Willow AK 99688 Ph: (907) 631-3521 |
NPI Number | 1912381658 |
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Provider Enumeration Date | 07/13/2015 |
Last Update Date | 07/13/2015 |
Identifier | Type | State | Issuer |
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1912381658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 100868 (Alaska) | Primary |