| Denis S. Corral, D.D.S., P.C. | |
|
11901 Business Blvd., #201 Eagle River AK 99577-7701 | |
| (907) 694-6640 | |
| (907) 694-6681 |
| Full Name | Denis S. Corral, D.D.S., P.C. |
|---|---|
| Speciality | Dentist |
| Location | 11901 Business Blvd., #201, Eagle River, Alaska |
| Authorized Official Name and Position | Denis S. Corral (PRESIDENT / OWNER) |
| Authorized Official Contact | 9076946640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denis S. Corral, D.D.S., P.C. 11901 Business Blvd., #201 Eagle River AK 99577-7701 Ph: (907) 694-6640 | Denis S. Corral, D.D.S., P.C. 11901 Business Blvd., #201 Eagle River AK 99577-7701 Ph: (907) 694-6640 |
| NPI Number | 1649535865 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 07/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649535865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AA552 (Alaska) | Primary |
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