Lupine Dental LLC

NPI #1518690676 in Wasilla, Alaska

Provider Information

NPI Number
1518690676
Entity Type
Organization
Organization Name
Lupine Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 6, 2022
Last Updated
Jul 6, 2022

Practice Location

Address
3765 E BLUE LUPINE DR
Address 2
SUITE A
State
Alaska
ZIP Code
99654
Phone
(907) 215-4223

Authorized Official

Name
DR. KRIS GURR, DMD
Title
OWNER
Phone
(907) 376-9200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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