DIMOND CHILDRENS DENTISTRY INC
Dentist at Dimond Blvd, Anchorage, AK

License number
Alaska 432159
Category
Dentist
Type
Pediatric Dentistry
Owner
Name: CLARENCE EDWARD GRAVES DDS
Title: PRESIDENT
Phone: (907) 336-7337
Address
Address
1310 EAST Dimond Blvd #3, Anchorage, AK 99515
National Provider ID: 1649385006
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIMOND CHILDRENS DENTISTRY, INC

1310 E Dimond Blvd STE 3, Anchorage, AK 99515

Status:
Inactive
Industry:
Dentist's Office
Registration:
Jun 15, 2004
State ID:
87287D
Business type:
Business Corporation
Expiration:
Perpetual
Director, Secretary, Treasurer, Vice Presidents:
Clarence E Graves (Director, President),Susan E Graves (Director, Secretary, Treasurer, Vice President)
Agent:
Clarence Edward Graves,1310 E Dimond Blvd STE 3, Anchorage, AK 99515 (Mailing)

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