| Kenley Dental | |
|
281 N Main St Ste 201 Wasilla AK 99654-7046 | |
| (435) 757-6699 | |
| Not Available |
| Full Name | Kenley Dental |
|---|---|
| Speciality | Dentist |
| Location | 281 N Main St Ste 201, Wasilla, Alaska |
| Authorized Official Name and Position | Calvin Matthew Kenley (DOCTOR) |
| Authorized Official Contact | 4357576699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenley Dental 5200 N Palmer Fishhook Rd Palmer AK 99645-8317 Ph: (435) 757-6699 | Kenley Dental 281 N Main St Ste 201 Wasilla AK 99654-7046 Ph: (435) 757-6699 |
| NPI Number | 1467087320 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467087320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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