Lakeview Dental Associates | |
851 E Westpoint Dr Ste 112 Wasilla AK 99654-7183 | |
(907) 376-4415 | |
Not Available |
Full Name | Lakeview Dental Associates |
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Speciality | Dentist |
Location | 851 E Westpoint Dr Ste 112, Wasilla, Alaska |
Authorized Official Name and Position | Jean Kingslien (OFFICE MANAGER) |
Authorized Official Contact | 9073764415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeview Dental Associates 851 E Westpoint Dr Ste 112 Wasilla AK 99654-7183 Ph: (907) 376-4415 | Lakeview Dental Associates 851 E Westpoint Dr Ste 112 Wasilla AK 99654-7183 Ph: (907) 376-4415 |
NPI Number | 1023294113 |
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Provider Enumeration Date | 01/18/2008 |
Last Update Date | 01/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023294113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 348 (Alaska) | Primary |
261QD0000X | Clinic/center - Dental | 348 (Alaska) | Secondary |
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