Lakeview Professional Dental Associates Inc. | |
851 Westpoint Dr Suite 112 Wasilla AK 99654-7142 | |
(907) 376-4415 | |
(907) 373-0589 |
Full Name | Lakeview Professional Dental Associates Inc. |
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Speciality | Dentist |
Location | 851 Westpoint Dr, Wasilla, Alaska |
Authorized Official Name and Position | Jean Kingslien (DIRECTOR SECRETARY TREASURER) |
Authorized Official Contact | 9073462625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeview Professional Dental Associates Inc. 851 Westpoint Dr Suite 112 Wasilla AK 99654-7142 Ph: (907) 376-4415 | Lakeview Professional Dental Associates Inc. 851 Westpoint Dr Suite 112 Wasilla AK 99654-7142 Ph: (907) 376-4415 |
NPI Number | 1720116601 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1720116601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 348 (Alaska) | Primary |
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Aesthetic Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 W Parks Hwy, Wasilla, AK 99654 Phone: 907-357-6684 | |
Lakeview Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 E Westpoint Dr Ste 112, Wasilla, AK 99654 Phone: 907-376-4415 | |
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