02D2183254 CLIA NUMBER - AURORA DENTAL CARE

Laboratory Demographics

CLIA Number: 02D2183254

Facility Name: AURORA DENTAL CARE

Facility Address:
4501 E SNIDER DR
WASILLA, AK
ZIP 99654
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Facility Phone Number: 907 376-8400

Facility Type: Other - DENTIST

Certificate Type: Waiver

NPI Number: 1902970601

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	02D2183254
LAB Type	Other - DENTIST
Facility Name	AURORA DENTAL CARE
Street	4501 E SNIDER DR
City	WASILLA
State	AK
ZIP	99654
Phone	907 376-8400
CertificateType	4
CertificateEffectiveDate	5/2/2022
CertificateExpirationDate	5/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024