Bridgeview Dental Group LLC

NPI #1134588619 in Kodiak, Alaska

Provider Information

NPI Number
1134588619
Entity Type
Organization
Organization Name
Bridgeview Dental Group LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 12, 2016
Last Updated
Feb 12, 2016

Practice Location

Address
413 REZANOF DR E
City
Kodiak
State
Alaska
ZIP Code
99615-6367
Phone
(907) 622-7874

Authorized Official

Name
JAMES PENFIELD, DDS
Title
OWNER
Phone
(907) 622-7874

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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