Family Medical Dental Center Of Alaska Inc | |
4361 Boniface Pkwy Anchorage AK 99504-4316 | |
(907) 333-1211 | |
(907) 333-8600 |
Full Name | Family Medical Dental Center Of Alaska Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 4361 Boniface Pkwy, Anchorage, Alaska |
Authorized Official Name and Position | Meledath Gopinath (PRESIDENT) |
Authorized Official Contact | 4258692238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medical Dental Center Of Alaska Inc Po Box 210549 Anchorage AK 99521-0549 Ph: (907) 333-1211 | Family Medical Dental Center Of Alaska Inc 4361 Boniface Pkwy Anchorage AK 99504-4316 Ph: (907) 333-1211 |
NPI Number | 1104996214 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104996214 | NPI | - | NPPES |
29368 | Other | AK | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 29368 (Alaska) | Primary |
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