NPI 1093326308
Molar Bear Pediatric Dentistry LLC
Practice location
- Address
- 609 S Knik Goose Bay Rd STE D, Wasilla, AK 99654-8079
- Phone
- (907) 376-6527
Authorised official
- Name
- Christopher G Rosenvall
- Title
- Ceo
- Phone
- (801) 592-7595
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1093326308
- Entity type
- Organization
- NPI issued
- 11 Aug 2020
- Record last updated
- 11 Aug 2020
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.