Keguta Dental LLC

NPI #1578999306 in Bethel, Alaska

Provider Information

NPI Number
1578999306
Entity Type
Organization
Organization Name
Keguta Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 25, 2013
Last Updated
Aug 20, 2014

Practice Location

Address
660 THIRD AVE STE C
City
Bethel
State
Alaska
ZIP Code
99559-0169
Phone
(907) 545-3996

Authorized Official

Name
EDWIN H ALLGAIR JR., DDS
Title
DENTAL DIRECTOR/MANAGER
Phone
(206) 419-0787

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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