| Todd C Miles Llc Dba Delaney Park Dental | |
|
880 N St Ste 301 Anchorage AK 99501-3276 | |
| (907) 276-7787 | |
| (907) 258-1685 |
| Full Name | Todd C Miles Llc Dba Delaney Park Dental |
|---|---|
| Speciality | Dentist |
| Location | 880 N St Ste 301, Anchorage, Alaska |
| Authorized Official Name and Position | Stacie Michelle Garrabrant (OFFICE MANAGER) |
| Authorized Official Contact | 9072767787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd C Miles Llc Dba Delaney Park Dental 880 N St Ste 301 Anchorage AK 99501-3276 Ph: (907) 276-7787 | Todd C Miles Llc Dba Delaney Park Dental 880 N St Ste 301 Anchorage AK 99501-3276 Ph: (907) 276-7787 |
| NPI Number | 1528541752 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528541752 | NPI | - | NPPES |
| 122989 | Other | AK | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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