PETERSBURG DENTAL, INC.
Dentist in Petersburg, AK

License number
Alaska 1096
Category
Dentist
Type
Dentist
Owner
Name: JAY LISTER
Title: DDS/PRESIDENT
Phone: (907) 772-9246
Address
Address
806 S. Nordic Dr., Petersburg, AK 99833
National Provider ID: 1932543345
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PETERSBURG DENTAL, INC. at bizstanding.com

Petersburg Dental, Inc

PO Box 469, Petersburg, AK 99833

Doing business as:
5th Avenue Dental, PC<br>Belgrade Family Dental Inc
Registration:
Apr 21, 2003
State ID:
79777D
Business type:
Professional Corporation
Previous name:
5th Avenue Dental, PC, Belgrade Family Dental Inc
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
Jay Q Lister (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Next Report:
20170102

Dentist licenses in Alaska