| Kelly Maixner Dmd Llc Dba Wee Care Pediatric Dentistry | |
|
1001 E Usa Cir Ste B Wasilla AK 99654-7198 | |
| (907) 373-6000 | |
| (907) 357-6878 |
| Full Name | Kelly Maixner Dmd Llc Dba Wee Care Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1001 E Usa Cir Ste B, Wasilla, Alaska |
| Authorized Official Name and Position | Misti Forrest (MANAGER) |
| Authorized Official Contact | 9073736000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Maixner Dmd Llc Dba Wee Care Pediatric Dentistry 1001 E Usa Cir Ste B Wasilla AK 99654-7198 Ph: (907) 373-6000 | Kelly Maixner Dmd Llc Dba Wee Care Pediatric Dentistry 1001 E Usa Cir Ste B Wasilla AK 99654-7198 Ph: (907) 373-6000 |
| NPI Number | 1831677814 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831677814 | NPI | - | NPPES |
| 1003575 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1248 (Alaska) | Primary |
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