KELLY M MAIXNER

WASILLA, AK
NPI1861684318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  1248)
Enumeration Date2007-08-17
Last Update Date2013-08-07
Business Address
Dr. KELLY M MAIXNER DMD
1001 E USA CIR SUITE B
WASILLA, AK 99654-7198
Phone number: 907-373-6000
Mailing Address
Dr. KELLY M MAIXNER DMD
PO BOX 521792
BIG LAKE, AK 99652-1792
Phone number: 907-373-6000