Keguta Dental Llc | |
660 Third Ave Ste C Bethel AK 99559-0169 | |
(907) 545-3996 | |
Not Available |
Full Name | Keguta Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 660 Third Ave Ste C, Bethel, Alaska |
Authorized Official Name and Position | Edwin H Allgair (DENTAL DIRECTOR/MANAGER) |
Authorized Official Contact | 2064190787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keguta Dental Llc Po Box 1051 Sterling AK 99672-1051 Ph: (206) 419-0787 | Keguta Dental Llc 660 Third Ave Ste C Bethel AK 99559-0169 Ph: (907) 545-3996 |
NPI Number | 1578999306 |
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Provider Enumeration Date | 09/25/2013 |
Last Update Date | 08/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578999306 | NPI | - | NPPES |
1608341 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D997 (Alaska) | Primary |
Yukon Kuskokwim Health Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Ste 340, Bethel, AK 99559 Phone: 907-543-6000 Fax: 907-543-6117 | |
Yukon Kuskokwim Health Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Suite 340, Bethel, AK 99559 Phone: 907-543-6000 Fax: 907-543-6117 |