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Keguta Dental Llc
Dental Clinic/Center in Bethel, Alaska
NPI 1578999306

Keguta Dental Llc is a Dental Clinic/Center based in Sterling, AK and is specialized in Dental. Keguta Dental Llc practices in Bethel, AK. The NPI Number for Keguta Dental Llc is 1578999306 and holds a License No. D997 (Alaska).

The current practice location address for Keguta Dental Llc is 660 Third Ave Ste C, Bethel, AK and can be reached out via phone at 907-545-3996. You can also correspond with Keguta Dental Llc through the mailing address at PO BOX 1051, STERLING, AK - 99672-1051 (mailing address contact number: 206-419-0787).

Location: 660 Third Ave Ste C, Bethel, AK, 99672-1051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578999306
Provider Name
Keguta Dental Llc
Credential
Provider Entity Type
Organization
Address
660 Third Ave Ste C, Bethel, AK, 99672-1051
Phone Number
907-545-3996
Fax Number
Provider Enumeration Date
09/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1608341 05 AK
institution
Provider Business Practice Location Address Details
Address
660 Third Ave Ste C
City
Bethel
State
Alaska
Zip
99559-0169
Phone Number
907-545-3996
Fax Number
person
Provider Business Mailing Address Details
Address
660 Third Ave Ste C
City
Bethel
State
Alaska
Zip
99559-0169
Phone Number
907-545-3996
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D997 (Alaska)
Definition
Definition to come...
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