| Fresh Dental Care Pc | |
|
900 W Fireweed Ln Anchorage AK 99503 | |
| (907) 276-1050 | |
| (907) 279-2242 |
| Full Name | Fresh Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 W Fireweed Ln, Anchorage, Alaska |
| Authorized Official Name and Position | Parisa Rahmanian (DENTIST) |
| Authorized Official Contact | 9072761050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Dental Care Pc 900 W Fireweed Ln Anchorage AK 99503-2558 Ph: (907) 276-1050 | Fresh Dental Care Pc 900 W Fireweed Ln Anchorage AK 99503 Ph: (907) 276-1050 |
| NPI Number | 1851886253 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851886253 | NPI | - | NPPES |
| 1002847 | Medicaid | AK | |
| 1684801 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1359 (Alaska) | Primary |
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