DEREK GREEN DMD LLC

ANCHORAGE, AK
NPI1578130175
Entity TypeOrganization
Authorized ContactDEREK THOMAS GREEN
Owner
480-370-0696
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2021-06-10
Last Update Date2021-06-10
Business Address
DEREK GREEN DMD LLC
4361 BONIFACE PKWY
ANCHORAGE, AK 99504-4314
Phone number: 907-333-1211
Mailing Address
DEREK GREEN DMD LLC
4361 BONIFACE PKWY
ANCHORAGE, AK 99504-4314
Phone number: 907-333-1211
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