| Rex C. Malcom Pharmd Dmd, Llc | |
|
6917 Old Seward Hwy Anchorage AK 99518-2276 | |
| (907) 522-3633 | |
| Not Available |
| Full Name | Rex C. Malcom Pharmd Dmd, Llc |
|---|---|
| Speciality | Dentist |
| Location | 6917 Old Seward Hwy, Anchorage, Alaska |
| Authorized Official Name and Position | Rex Malcom (MANAGER) |
| Authorized Official Contact | 9075223633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rex C. Malcom Pharmd Dmd, Llc 6917 Old Seward Hwy Anchorage AK 99518-2276 Ph: (907) 522-3633 | Rex C. Malcom Pharmd Dmd, Llc 6917 Old Seward Hwy Anchorage AK 99518-2276 Ph: (907) 522-3633 |
| NPI Number | 1609365105 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609365105 | NPI | - | NPPES |
| 1642221 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 100531 (Alaska) | Primary |
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