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Contact Information

AURORA DENTAL CLINIC, LLC
4501 E SNIDER DR
WASILLA, AK99654-7604
 Phone: 907-376-8400
 Fax: 907-376-8402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AURORA DENTAL CLINIC, LLC

NPI Number 1922310432
LBN Legal business name AURORA DENTAL CLINIC, LLC
Authorized official DEL JEAN DEDEKER - (MEMBER/ORGANIZER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2010
Last updated 07/13/2010 - About 16 years ago
Identifiers
AK License # 845
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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