| Dimond Childrens Dentistry Inc | |
|
1310 East Dimond Blvd #3 Anchorage AK 99515 | |
| (907) 336-7337 | |
| (907) 336-7338 |
| Full Name | Dimond Childrens Dentistry Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1310 East Dimond Blvd #3, Anchorage, Alaska |
| Authorized Official Name and Position | Clarence Edward Graves (PRESIDENT) |
| Authorized Official Contact | 9073367337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimond Childrens Dentistry Inc 1310 East Dimond Blvd #3 Anchorage AK 99515 Ph: (907) 336-7337 | Dimond Childrens Dentistry Inc 1310 East Dimond Blvd #3 Anchorage AK 99515 Ph: (907) 336-7337 |
| NPI Number | 1649385006 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649385006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 432159 (Alaska) | Primary |
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Ryan, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 E Dimond Blvd Ste 3, Anchorage, AK 99515 Phone: 907-336-7337 Fax: 907-336-7343 | |
Btydental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2421 E Tudor Rd, Suite 101, Anchorage, AK 99507 Phone: 907-222-6000 Fax: 907-677-1247 | |
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