Lucille Dental,llc

NPI #1891248118 in Wasilla, Alaska

Provider Information

NPI Number
1891248118
Entity Type
Organization
Organization Name
Lucille Dental,llc
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 3, 2016
Last Updated
Aug 3, 2016

Practice Location

Address
110 E SWANSON AVE
State
Alaska
ZIP Code
99654-7024
Phone
(907) 376-5207

Authorized Official

Name
KRIS P GURR, D.D.S.
Title
OWNER/PRESIDENT
Phone
(480) 353-0027

Specialties & Taxonomy Codes

Specialty
Dental Hygienist
Dental Assistant
Dentist - General PracticeGeneral Practice

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