Organization
GLENN E. LOCKWOOD,DDS,PC
Active
Other names
Kenai Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN E. LOCKWOOD D.D.S. (PRESIDENT)
(907) 283-4875
Entity
Organization
Contact information
Practice address
605 MARINE AVE, KENAI, AK 99611-6928
(907) 283-4875
(907) 283-9412
Mailing address
605 MARINE AVE, KENAI, AK 99611-6928
(907) 283-4875
(907) 283-9412
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
925
AK
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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