DR. Nicholas I Methven, D.D.S.

NPI #1154631224 in Wasilla, Alaska

Provider Information

NPI Number: 1154631224
Entity Type: Individual
Name: DR. Nicholas I Methven, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 7, 2010
Last Updated: Oct 7, 2010

Practice Location

Address: 1551 W PARKS HWY
City: Wasilla
State: Alaska
ZIP Code: 99654-6933
Phone: (907) 841-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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