| NPI Details | |
|---|---|
| NPI | 1023294113 |
| Enumeration Date | 01/18/2008 |
| Last Updated | 01/18/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | JEAN JEAN |
| Position | OFFICE MANAGER |
| Phone | (907) 376-4415 |
| Fax | |
| Practice Location | |
|---|---|
| 851 E WESTPOINT DR STE 112 WASILLA AK, 99654-7183, US |
|
| Phone | (907) 376-4415 |
| Fax | |
| Business Location | |
|---|---|
| 851 E WESTPOINT DR STE 112 WASILLA AK, 99654-7183, US |
|
| Phone | (907) 376-4415 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QD0000X |
| License State | Alaska |
| License Number | 348 |
| Remove 1023294113 NPI Number | |
According to our database, Lakeview Dental Associates NPI is 1023294113, taxonomy code is 261QD0000X and license number is 348, license state is located at Alaska. Lakeview Dental Associates physically located at 851 E Westpoint Dr Ste 112, Wasilla AK, 99654-7183. NPI Number 1033115704 has the healthcare provider type.
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1023294113 NPI number is provided on an as is basis without warranty of any kind. 1023294113 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeview Dental Associates are for informational purposes only.
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