NPI 1023294113

Lakeview Dental Associates

Organisation Dentist Wasilla, AK

Practice location

Address: 851 E Westpoint Dr STE 112, Wasilla, AK 99654-7183
Phone: (907) 376-4415

Authorised official

Name: Jean Kingslien
Title: Office Manager
Phone: (907) 376-4415

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 348 (AK)

Other Dentist providers in Alaska →

Dental Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 348 (AK)

Other Clinic/Center providers in Alaska →

Registry record

NPI: 1023294113
Entity type: Organization
NPI issued: 18 Jan 2008
Record last updated: 18 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.