| Lupine Dental Llc | |
|
3765 E Blue Lupine Dr Suite A Wasilla AK 99654 | |
| (907) 215-4223 | |
| Not Available |
| Full Name | Lupine Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3765 E Blue Lupine Dr, Wasilla, Alaska |
| Authorized Official Name and Position | Kris Gurr (OWNER) |
| Authorized Official Contact | 9073769200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lupine Dental Llc 3465 E Meridian Park Loop Ste C Wasilla AK 99654-7264 Ph: (907) 376-9200 | Lupine Dental Llc 3765 E Blue Lupine Dr Suite A Wasilla AK 99654 Ph: (907) 215-4223 |
| NPI Number | 1518690676 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518690676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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