Organization · Type 2 NPI
Southeast Alaska Regional Health Consortium
Dental Clinic/Center · Petersburg, AK
NPI number
1235717844
Active
Practice location
15 W Excel
Petersburg, AK 99833
Mailing address
3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1235717844
Southeast Alaska Regional Health Consortium's National Provider Identifier is 1235717844, issued on Apr 2, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Petersburg, AK. The record was last updated on Apr 2, 2021.