Lakeview Dental Associates

NPI #1023294113 in Wasilla, Alaska

Provider Information

NPI Number: 1023294113
Entity Type: Organization
Organization Name: Lakeview Dental Associates
Subpart: Yes (part of a larger organization)
Parent Organization: B&K DANIEL ENTERPRISES, INC.
Primary Specialty: Dentist
Enumeration Date: Jan 18, 2008
Last Updated: Jan 18, 2008

Practice Location

Address: 851 E WESTPOINT DR STE 112
City: Wasilla
State: Alaska
ZIP Code: 99654-7183
Phone: (907) 376-4415

Authorized Official

Name: JEAN KINGSLIEN
Title: OFFICE MANAGER
Phone: (907) 376-4415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist	122300000X	Primary

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