| Allen Dental Group LLC | |
|
17101 Snowmobile Ln Suite 107 Eagle River AK 99577-7043 | |
| (907) 622-6233 | |
| (907) 622-6232 |
| Full Name | Allen Dental Group LLC |
|---|---|
| Speciality | Dentist |
| Location | 17101 Snowmobile Ln, Eagle River, Alaska |
| Authorized Official Name and Position | Bradford C. Allen (OWNER/MEMBER) |
| Authorized Official Contact | 9076226233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Dental Group LLC 17101 Snowmobile Ln Suite 107 Eagle River AK 99577-7043 Ph: (907) 622-6233 | Allen Dental Group LLC 17101 Snowmobile Ln Suite 107 Eagle River AK 99577-7043 Ph: (907) 622-6233 |
| NPI Number | 1124365622 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124365622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1327 (Alaska) | Primary |
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