| Central Valley Dental Llc | |
|
777 N Crusey St Ste B203 Wasilla AK 99654-7100 | |
| (907) 376-2832 | |
| Not Available |
| Full Name | Central Valley Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 777 N Crusey St Ste B203, Wasilla, Alaska |
| Authorized Official Name and Position | David Boyd Beistline (OWNER/DENTIST) |
| Authorized Official Contact | 9073762832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Valley Dental Llc 777 N Crusey St Ste B203 Wasilla AK 99654-7100 Ph: (907) 376-2832 | Central Valley Dental Llc 777 N Crusey St Ste B203 Wasilla AK 99654-7100 Ph: (907) 376-2832 |
| NPI Number | 1326628082 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326628082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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