institution
Kodiak Island Family Dentistry
Dental Clinic/Center in Kodiak, Alaska
NPI 1811568900

Kodiak Island Family Dentistry is a Dental Clinic/Center based in Kodiak, AK and is specialized in Dental. Kodiak Island Family Dentistry practices in Kodiak, AK. The NPI Number for Kodiak Island Family Dentistry is 1811568900 and holds a License No. (Alaska).

The current practice location address for Kodiak Island Family Dentistry is 204 E Rezanof Dr Ste 201, Kodiak, AK and can be reached out via phone at 907-481-3567.

Location: 204 E Rezanof Dr Ste 201, Kodiak, AK, 99615-6379
institution
Provider Profile Details
NPI Number
1811568900
Provider Name
Kodiak Island Family Dentistry
Credential
Provider Entity Type
Organization
Address
204 E Rezanof Dr Ste 201, Kodiak, AK, 99615-6379
Phone Number
907-481-3567
Fax Number
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437243326 05 AK
1326421850 05 AK
1639787021 05 AK
institution
Provider Business Practice Location Address Details
Address
204 E Rezanof Dr Ste 201
City
State
Zip
99615-6379
Phone Number
907-481-3567
Fax Number
person
Provider Business Mailing Address Details
Address
204 E Rezanof Dr Ste 201
City
State
Zip
99615-6379
Phone Number
907-481-3567
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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