Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI Number | 1528181971 |
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| LBN Legal business name | ARCTIC SLOPE NATIVE ASSOCIATION | ||||||||
| Authorized official | AMANDA ASHLEY-GAYNOR - (CLINICAL DIRECTOR OF DENTAL) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/09/2007 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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