BRIDGEVIEW DENTAL GROUP LLC

KODIAK, AK
NPI1134588619
Entity TypeOrganization
Authorized ContactJAMES PENFIELD
Owner
907-622-7874
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AK  1137)
Enumeration Date2016-02-12
Last Update Date2016-02-12
Business Address
BRIDGEVIEW DENTAL GROUP LLC
413 REZANOF DR E
KODIAK, AK 99615-6367
Phone number: 907-622-7874
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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