Anchorage Camai Dental Clinic, LLC

NPI #1972150365 in Anchorage, Alaska

Provider Information

NPI Number: 1972150365
Entity Type: Organization
Organization Name: Anchorage Camai Dental Clinic, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 21, 2019
Last Updated: Aug 21, 2019

Practice Location

Address: 4361 BONIFACE PKWY
City: Anchorage
State: Alaska
ZIP Code: 99504-4314
Phone: (907) 357-5214

Authorized Official

Name: KELLY LUCAS, DDS
Title: DENTIST/OWNER
Phone: (907) 357-5214

Specialties & Taxonomy Codes

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

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