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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