NPI 1215437165
Arctic Oral Surgery, LLC
Practice location
- Address
- 12641 Old Glenn Hwy STE 103, Eagle River, AK 99577
- Phone
- (907) 726-5600
- Fax
- (907) 726-5602
- Mailing address
- 12641 Old Glenn Hwy STE 103, Eagle River, AK 99577-7040
Authorised official
- Name
- Leonardo Manuel Rios-Andersen
- Title
- Oral Surgeon
- Phone
- (907) 726-5600
Registered specialties
Oral and Maxillofacial Surgery (Dentist)
Primary
Registry record
- NPI
- 1215437165
- Entity type
- Organization
- NPI issued
- 16 Feb 2018
- Record last updated
- 26 Jul 2018
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.