Organization
NAKNEK CAMAI DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LUCAS DDS (DENTIST/OWNER)
(907) 246-6157
Entity
Organization
Contact information
Practice address
2 SCHOOL RD, NAKNEK, AK 99633
(907) 246-6157
Mailing address
PO BOX 117, NAKNEK, AK 99633-0117
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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