| South Anchorage Family Dentistry Llc | |
| 
					549 W Fireweed Ln Anchorage AK 99503-1927  | |
| (907) 274-5617 | |
| Not Available | 
| Full Name | South Anchorage Family Dentistry Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 549 W Fireweed Ln, Anchorage, Alaska | 
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) | 
| Authorized Official Contact | 9728693789 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| South Anchorage Family Dentistry Llc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: () -  | South Anchorage Family Dentistry Llc 549 W Fireweed Ln Anchorage AK 99503-1927 Ph: (907) 274-5617  | 
| NPI Number | 1609246446 | 
|---|---|
| Provider Enumeration Date | 10/06/2015 | 
| Last Update Date | 10/20/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609246446 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
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