| Dr. K's Pediatric Dentistry | |
|
1050 S Cobb St Unit A Palmer AK 99645-6916 | |
| (209) 242-3439 | |
| Not Available |
| Full Name | Dr. K's Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1050 S Cobb St Unit A, Palmer, Alaska |
| Authorized Official Name and Position | Brian Anthony Kelleher (OWNER) |
| Authorized Official Contact | 2092423439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. K's Pediatric Dentistry 1050 S Cobb St Unit A Palmer AK 99645-6916 Ph: (209) 242-3439 | Dr. K's Pediatric Dentistry 1050 S Cobb St Unit A Palmer AK 99645-6916 Ph: (209) 242-3439 |
| NPI Number | 1447619853 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447619853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1578 (Alaska) | Primary |
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