| Alison Walsh, LLC | |
|
2601 Boniface Pkwy Ste 2 Anchorage AK 99504-3144 | |
| (907) 337-9474 | |
| Not Available |
| Full Name | Alison Walsh, LLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2601 Boniface Pkwy Ste 2, Anchorage, Alaska |
| Authorized Official Name and Position | Alison Walsh (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9076026262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Walsh, LLC 1110 W 80th Ave Anchorage AK 99518-2423 Ph: (907) 602-6262 | Alison Walsh, LLC 2601 Boniface Pkwy Ste 2 Anchorage AK 99504-3144 Ph: (907) 337-9474 |
| NPI Number | 1083251078 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083251078 | NPI | - | NPPES |
| 1579616 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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