Organization
LUPINE DENTAL LLC
Active
Other names
Lupine Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS GURR DMD (OWNER)
(907) 376-9200
Entity
Organization
Contact information
Practice address
3765 E BLUE LUPINE DR, SUITE A, WASILLA, AK 99654
(907) 215-4223
Mailing address
3465 E MERIDIAN PARK LOOP STE C, WASILLA, AK 99654-7264
(907) 376-9200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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