institution
Ketchikan Indian Corporation
Dental Clinic/Center in Ketchikan, Alaska
NPI 1396153649

Ketchikan Indian Corporation is a Dental Clinic/Center based in Ketchikan, AK and is specialized in Dental. Ketchikan Indian Corporation practices in Ketchikan, AK. The NPI Number for Ketchikan Indian Corporation is 1396153649 and holds a License No. 378 (Alaska).

The current practice location address for Ketchikan Indian Corporation is 2960 Tongass Ave, Ketchikan, AK and can be reached out via phone at 907-228-9200 and via fax at 800-887-8796. You can also correspond with Ketchikan Indian Corporation through the mailing address at 2960 TONGASS AVE, KETCHIKAN, AK - 99901-5742 (mailing address contact number: 907-228-9200).

Location: 2960 Tongass Ave, Ketchikan, AK, 99901-5742
institution
Provider Profile Details
NPI Number
1396153649
Provider Name
Ketchikan Indian Corporation
Credential
Provider Entity Type
Organization
Address
2960 Tongass Ave, Ketchikan, AK, 99901-5742
Phone Number
907-228-9200
Fax Number
800-887-8796
Provider Enumeration Date
07/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
378 01 AK BUSINESS PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2960 Tongass Ave
City
State
Zip
99901-5742
Phone Number
907-228-9200
Fax Number
800-887-8796
person
Provider Business Mailing Address Details
Address
2960 Tongass Ave
City
State
Zip
99901-5742
Phone Number
907-228-9200
Fax Number
800-887-8796
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
378 (Alaska)
Definition
Definition to come...
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