Organization
LAKEVIEW DENTAL ASSOCIATES
Active
Parent organization
B&K DANIEL ENTERPRISES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
B&K DANIEL ENTERPRISES, INC.
Authorized official
JEAN KINGSLIEN (OFFICE MANAGER)
(907) 376-4415
Entity
Organization
Contact information
Practice address
851 E WESTPOINT DR STE 112, WASILLA, AK 99654-7183
(907) 376-4415
Mailing address
851 E WESTPOINT DR STE 112, WASILLA, AK 99654-7183
(907) 376-4415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
348
AK
261QD0000X
Dental Clinic/Center
348
AK
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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