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Organization
LUPINE DENTAL LLC
Active
Organization
LUPINE DENTAL LLC
Active
Other names
Lupine Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS GURR DMD (OWNER)
(907) 376-9200
Entity
Organization
Contact information
Practice address
3765 E BLUE LUPINE DR, SUITE A, WASILLA, AK 99654
(907) 215-4223
Mailing address
3465 E MERIDIAN PARK LOOP STE C, WASILLA, AK 99654-7264
(907) 376-9200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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