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1134588619
BRIDGEVIEW DENTAL GROUP LLC
KODIAK, AK
NPI
1134588619
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Entity Type
Organization
Authorized Contact
JAMES PENFIELD
Owner
907-622-7874
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: AK 1137)
Enumeration Date
2016-02-12
Last Update Date
2016-02-12
Business Address
BRIDGEVIEW DENTAL GROUP LLC
413 REZANOF DR E
KODIAK, AK 99615-6367
Phone number: 907-622-7874
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Mailing Address
BRIDGEVIEW DENTAL GROUP LLC
12641 OLD GLENN HWY STE 204
EAGLE RIVER, AK 99577
Phone number: 907-622-7874
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