| Arctic Oral Surgery, LLC | |
|
12641 Old Glenn Hwy Ste 103 Eagle River AK 99577 | |
| (907) 726-5600 | |
| (907) 726-5602 |
| Full Name | Arctic Oral Surgery, LLC |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12641 Old Glenn Hwy Ste 103, Eagle River, Alaska |
| Authorized Official Name and Position | Leonardo Manuel Rios-andersen (ORAL SURGEON) |
| Authorized Official Contact | 9077265600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arctic Oral Surgery, LLC 12641 Old Glenn Hwy Ste 103 Eagle River AK 99577-7040 Ph: (907) 726-5600 | Arctic Oral Surgery, LLC 12641 Old Glenn Hwy Ste 103 Eagle River AK 99577 Ph: (907) 726-5600 |
| NPI Number | 1215437165 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215437165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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