| NPI | 1245456326 |
|---|---|
| Doing Business As | KENAI DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GLENN E. LOCKWOOD President 907-283-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 925) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |