Organization
K-BEACH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGHANN PENLAND (OFFICE MANAGER)
(907) 283-9210
Entity
Organization
Contact information
Practice address
36892 MALLARD RD, KENAI, AK 99611-6434
(907) 283-9210
(907) 283-3184
Mailing address
36892 MALLARD RD, KENAI, AK 99611-6434
(907) 283-9210
(907) 283-3184
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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