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1356124564
KELLY MOPANGGA ALLEN
ANCHORAGE, AK
NPI
1356124564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AK 210133)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
KELLY MOPANGGA ALLEN DMD
4000 OLD SEWARD HWY STE 200
ANCHORAGE, AK 99503-6068
Phone number: 907-561-3639
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Mailing Address
KELLY MOPANGGA ALLEN DMD
26125 WILDFLOWER CIR
EAGLE RIVER, AK 99577-9678
Phone number: 907-782-9002
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