| Aesthetic Dental Group Llc | |
|
1551 W Parks Hwy Wasilla AK 99654-6933 | |
| (907) 357-6684 | |
| Not Available |
| Full Name | Aesthetic Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1551 W Parks Hwy, Wasilla, Alaska |
| Authorized Official Name and Position | Amanda Harrison (OFFICE MANAGER) |
| Authorized Official Contact | 9072292228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dental Group Llc 10928 Eagle River Rd Eagle River AK 99577-8078 Ph: (907) 622-3000 | Aesthetic Dental Group Llc 1551 W Parks Hwy Wasilla AK 99654-6933 Ph: (907) 357-6684 |
| NPI Number | 1003539008 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003539008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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