NPI 1003539008

Aesthetic Dental Group LLC

Organisation Dental Clinic/Center Wasilla, AK

Practice location

Address: 1551 W Parks Hwy, Wasilla, AK 99654-6933
Phone: (907) 357-6684
Mailing address: 10928 Eagle River Rd, Eagle River, AK 99577-8078

Authorised official

Name: Amanda Harrison
Title: Office Manager
Phone: (907) 229-2228

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Alaska →

Registry record

NPI: 1003539008
Entity type: Organization
NPI issued: 23 Sep 2022
Record last updated: 30 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.