Kenley Dental

NPI #1467087320 in Wasilla, Alaska

Provider Information

NPI Number: 1467087320
Entity Type: Organization
Organization Name: Kenley Dental
Primary Specialty: Dentist
Enumeration Date: Mar 10, 2020
Last Updated: Mar 10, 2020

Practice Location

Address: 281 N MAIN ST STE 201
City: Wasilla
State: Alaska
ZIP Code: 99654-7046
Phone: (435) 757-6699

Authorized Official

Name: CALVIN MATTHEW KENLEY, DMD
Title: DOCTOR
Phone: (435) 757-6699

Specialties & Taxonomy Codes

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

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