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Organization

'GENTLE DENTISTRY' JENNIFER SPIVEY DDS

Active
Other names
JENNIFER SPIVEY DDS PC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SINIA LOKELANI MAILE (OFFICE MANAGER)
(907) 481-3567
Entity
Organization

Contact information

Practice address
204 REZANOF DR E, SUITE #201, KODIAK, AK 99615-6379
(907) 481-3567
(907) 481-3564
Mailing address
204 EAST REZANOF DR., STE. # 201, KODIAK, AK 99615
(907) 481-3567
(907) 481-3564

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9221
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD09221
AK
Enumeration date
10/03/2013
Last updated
10/03/2013
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