BLUE PHOENIX DENTAL LLC

UNALASKA, AK
NPI1134885593
Entity TypeOrganization
Authorized ContactSEAN MICHAEL DAVIS
Dentist
907-545-1191
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2021-11-10
Last Update Date2021-11-10
Business Address
BLUE PHOENIX DENTAL LLC
159 RIVERSIDE DRIVE
UNALASKA, AK 99685
Phone number: 907-545-1191
Mailing Address
BLUE PHOENIX DENTAL LLC
205 E DIMOND BLVD # 592
ANCHORAGE, AK 99515-1909
Phone number: 907-545-1191
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