Dr K's Pediatric Dentistry

NPI #1922463850 in Palmer, Alaska

Provider Information

NPI Number: 1922463850
Entity Type: Organization
Organization Name: Dr K's Pediatric Dentistry
Primary Specialty: Dentist
Enumeration Date: Dec 18, 2015
Last Updated: Dec 18, 2015

Practice Location

Address: 125 W EVERGREEN AVE
Address 2: #204
City: Palmer
State: Alaska
ZIP Code: 99645-6950
Phone: (209) 242-3439

Authorized Official

Name: DR. BRIAN A KELLEHER, DDS
Title: OWNER
Phone: (209) 242-3439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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