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1861684318
KELLY M MAIXNER
WASILLA, AK
NPI
1861684318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 1248)
Enumeration Date
2007-08-17
Last Update Date
2013-08-07
Business Address
Dr. KELLY M MAIXNER DMD
1001 E USA CIR SUITE B
WASILLA, AK 99654-7198
Phone number: 907-373-6000
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Mailing Address
Dr. KELLY M MAIXNER DMD
PO BOX 521792
BIG LAKE, AK 99652-1792
Phone number: 907-373-6000
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