Organization
MERIDIAN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS GURR DDS (OWNER/DOCTOR)
(907) 376-5207
Entity
Organization
Contact information
Practice address
3465 E MERIDIAN PARK LOOP STE C, WASILLA, AK 99654-7264
(907) 373-5207
Mailing address
110 E SWANSON AVE, WASILLA, AK 99654-7024
(907) 376-5207
(907) 373-3430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1524
AK
124Q00000X
Dental Hygienist
1524
AK
126800000X
Dental Assistant
1524
AK
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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