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1518690676
LUPINE DENTAL LLC
WASILLA, AK
NPI
1518690676
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Entity Type
Organization
Authorized Contact
KRIS GURR
Owner
907-376-9200
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
LUPINE DENTAL LLC
3765 E BLUE LUPINE DR SUITE A
WASILLA, AK 99654
Phone number: 907-215-4223
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Mailing Address
LUPINE DENTAL LLC
3465 E MERIDIAN PARK LOOP STE C
WASILLA, AK 99654-7264
Phone number: 907-376-9200
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