| Dr K's Pediatric Dentistry | |
|
125 W Evergreen Ave #204 Palmer AK 99645-6950 | |
| (209) 242-3439 | |
| Not Available |
| Full Name | Dr K's Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 125 W Evergreen Ave, Palmer, Alaska |
| Authorized Official Name and Position | Brian A Kelleher (OWNER) |
| Authorized Official Contact | 2092423439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr K's Pediatric Dentistry 1050 S Cobb St Unit A Palmer AK 99645-6916 Ph: (209) 602-0686 | Dr K's Pediatric Dentistry 125 W Evergreen Ave #204 Palmer AK 99645-6950 Ph: (209) 242-3439 |
| NPI Number | 1922463850 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 12/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922463850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1578 (Alaska) | Primary |
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