| Kenai Dental Clinic | |
|
605 Marine Ave Kenai AK 99611-6928 | |
| (907) 283-4875 | |
| (907) 283-9412 |
| Full Name | Kenai Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 605 Marine Ave, Kenai, Alaska |
| Authorized Official Name and Position | Glenn E. Lockwood (PRESIDENT) |
| Authorized Official Contact | 9072834875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenai Dental Clinic 605 Marine Ave Kenai AK 99611-6928 Ph: (907) 283-4875 | Kenai Dental Clinic 605 Marine Ave Kenai AK 99611-6928 Ph: (907) 283-4875 |
| NPI Number | 1245456326 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245456326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 925 (Alaska) | Primary |
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