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DARIN ANDERSON, LLC

Endodontics

Anchorage, Alaska

Provider NPI: 1649713074

Organization Information:
Organization Name:  DARIN ANDERSON, LLC
Organization is not Subpart
Authorized Official:  DARIN N ANDERSON  OWNER  907-3493636

Practice Location:
800 E DIMOND BLVD STE 3-600  ANCHORAGE, AK 99515 US
Tel: 907-349-3636  Fax: 907-349-7027

Business Mailing Address:
800 E DIMOND BLVD STE 3-600  ANCHORAGE, AK 99515 US
Tel: 907-349-3636  Fax: 907-349-7027

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223E0200XDental Providers
Dentist
Endodontics
AK1445

Other Provider Identifiers:

IssuerNumberStateType
ALASKA1445AK01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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