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1669065132
49TH STATE FAMILY DENTISTRY LLC
ANCHORAGE, AK
NPI
1669065132
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Entity Type
Organization
Authorized Contact
ELLEN DONOHUE
Owner/Member
907-561-5154
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
49TH STATE FAMILY DENTISTRY LLC
10998 OMALLEY CENTRE DR STE A
ANCHORAGE, AK 99515-3168
Phone number: 907-561-5154
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Mailing Address
49TH STATE FAMILY DENTISTRY LLC
10998 OMALLEY CENTRE DR STE A
ANCHORAGE, AK 99515-3168
Phone number: 907-561-5154
Copy
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