Most Relevant Information
Provider Data
| NPI Number: | 1003278698 |
| Provider Name: | THOMAS NELSON WANAT D.M.D., M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 111046 |
Most Important Dates
| Enumeration Date: | 03/23/2016 |
| Last Updated: | 07/27/2016 |
Provider Practice Location
4501 DIPLOMACY DR
ANCHORAGE
AK
995085919
Practice Location Phone/Fax
| Phone: | 9077291729 |
| Fax: |
Provider Mailing Location
4501 DIPLOMACY DR
ANCHORAGE
AK
995085919
Provider Mailing Phone/Fax
| Phone: | 9077291729 |
| Fax: |