| Peninsula Pediatric Dentistry | |
|
51101 Polaris Way Kenai AK 99611 | |
| (907) 952-1306 | |
| Not Available |
| Full Name | Peninsula Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 51101 Polaris Way, Kenai, Alaska |
| Authorized Official Name and Position | Robert E Mcalpine (PRESIDENT) |
| Authorized Official Contact | 9079521306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Pediatric Dentistry Po Box 1610 Soldotna AK 99669 Ph: (907) 952-1306 | Peninsula Pediatric Dentistry 51101 Polaris Way Kenai AK 99611 Ph: (907) 952-1306 |
| NPI Number | 1982950044 |
|---|---|
| Provider Enumeration Date | 07/26/2012 |
| Last Update Date | 07/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982950044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1210 (Alaska) | Primary |
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