| James Mushovic, D.m.d., Inc | |
|
159 Riverside Dr. Unalaska AK 99685 | |
| (907) 581-3122 | |
| Not Available |
| Full Name | James Mushovic, D.m.d., Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 159 Riverside Dr., Unalaska, Alaska |
| Authorized Official Name and Position | James Mushovic (PRESIDENT) |
| Authorized Official Contact | 9075813122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Mushovic, D.m.d., Inc 159 Riverside Dr. Unalaska AK 99685 Ph: (907) 581-3122 | James Mushovic, D.m.d., Inc 159 Riverside Dr. Unalaska AK 99685 Ph: (907) 581-3122 |
| NPI Number | 1609209311 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 08/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609209311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | AK512 (Alaska) | Primary |
Blue Phoenix Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Riverside Drive, Unalaska, AK 99685 Phone: 907-545-1191 |