Central Valley Dental LLC

NPI #1326628082 in Wasilla, Alaska

Provider Information

NPI Number
1326628082
Entity Type
Organization
Organization Name
Central Valley Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 8, 2021
Last Updated
Jul 15, 2021

Practice Location

Address
777 N CRUSEY ST STE B203
State
Alaska
ZIP Code
99654-7100
Phone
(907) 376-2832

Authorized Official

Name
DR. DAVID BOYD BEISTLINE, DMD
Title
OWNER/DENTIST
Phone
(907) 376-2832

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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