Southcentral Foundation is a health care provider in Seattle, WA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1008 Main Street, Kokhanok, AK 99606, US|
|Practice Location Phone||907-282-2203|
|Practice Location Fax|
|Legal Business Name||SOUTHCENTRAL FOUNDATION|
|Other Organization Name||KOKHANOK DENTAL CLINIC|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Sep 8, 2016|
|Last Update Date ?||Sep 8, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice||2||Alaska|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southcentral Foundation's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Kevin Gottlieb (DDS)|
|Authorized Official Title/Position||VICE PRESIDENT|
|Authorized Official Phone Number||907-317-6070|