| Lucille Dental,llc | |
|
110 E Swanson Ave Wasilla AK 99654-7024 | |
| (907) 376-5207 | |
| Not Available |
| Full Name | Lucille Dental,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 E Swanson Ave, Wasilla, Alaska |
| Authorized Official Name and Position | Kris P Gurr (OWNER/PRESIDENT) |
| Authorized Official Contact | 4803530027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucille Dental,llc 110 E Swanson Ave Wasilla AK 99654-7024 Ph: (907) 376-5207 | Lucille Dental,llc 110 E Swanson Ave Wasilla AK 99654-7024 Ph: (907) 376-5207 |
| NPI Number | 1891248118 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891248118 | NPI | - | NPPES |
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