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1518720911
KETCHIKAN DENTAL
KETCHIKAN, AK
NPI
1518720911
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Entity Type
Organization
Authorized Contact
TANNER D ZYLSTRA
Owner
909-967-8052
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
KETCHIKAN DENTAL
130 CARLANNA LAKE RD
KETCHIKAN, AK 99901-5669
Phone number: 909-967-8052
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Mailing Address
KETCHIKAN DENTAL
130 CARLANNA LAKE RD
KETCHIKAN, AK 99901-5669
Phone number: 909-967-8052
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