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36892 Mallard Rd Kenai AK 99611-6434 | |
| (900) 728-3921 | |
| (907) 283-3184 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 36892 Mallard Rd, Kenai, Alaska |
| Authorized Official Name and Position | Jeremy Scott Sorhus (OWNER/DENTIST) |
| Authorized Official Contact | 4067817509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
120 Trading Bay Rd Ste 280 Kenai AK 99611-7781 Ph: (907) 335-0363 | 36892 Mallard Rd Kenai AK 99611-6434 Ph: (900) 728-3921 |
| NPI Number | 1306340849 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306340849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1380 (Alaska) | Primary |
K-beach Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 36892 Mallard Rd, Kenai, AK 99611 Phone: 907-283-9210 Fax: 907-283-3184 | |
Franklin Todd Wortham Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10767 Kenai Spur Hwy Ste A, Kenai, AK 99611 Phone: 907-252-1673 |