Organization
KENLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN MATTHEW KENLEY DMD (DOCTOR)
(435) 757-6699
Entity
Organization
Contact information
Practice address
281 N MAIN ST STE 201, WASILLA, AK 99654-7046
(435) 757-6699
Mailing address
5200 N PALMER FISHHOOK RD, PALMER, AK 99645-8317
(435) 757-6699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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