| NPI | 1376089128 |
|---|---|
| Doing Business As | DENTAL INNOVATIONS |
| Entity Type | Organization |
| Authorized Contact | KELLY WADE LUCAS Owner/Practitioner 907-357-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 673) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |