Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1851857098 |
| LBN Legal business name | ALL ALASKA ORAL & CRANIOFACIAL SURGERY, P.C. |
| Authorized official | JASON DASHOW - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/12/2019 |
| Last updated | 06/05/2019 - About 7 years ago |
| Identifiers | n/a |
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