| NPI | 1518690676 |
|---|---|
| Doing Business As | LUPINE DENTAL LLC |
| 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 |