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Organization
CENTRAL VALLEY DENTAL LLC
Active
Organization
CENTRAL VALLEY DENTAL LLC
Active
Other names
Central Valley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOYD BEISTLINE DMD (OWNER/DENTIST)
(907) 376-2832
Entity
Organization
Contact information
Practice address
777 N CRUSEY ST STE B203, WASILLA, AK 99654-7100
(907) 376-2832
Mailing address
777 N CRUSEY ST STE B203, WASILLA, AK 99654-7100
(907) 376-2832
(907) 376-2840
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
07/15/2021
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