NPI | 1134843097 |
---|---|
Doing Business As | ANCHORAGE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | PHILLIP M PLOURDE Owner 602-615-3269 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-03 |
Last Update Date | 2022-10-04 |