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