DR. KELLY MAIXNER, DMD
Dentist
Active
Individual
NPI: 1861684318
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 1248 (AK) |
Frequently Asked Questions
NPI 1861684318 is the National Provider Identifier for DR. KELLY MAIXNER, DMD, a Dentist provider located in Wasilla, AK. This NPI was enumerated on August 17, 2007.
DR. KELLY MAIXNER, DMD practices at 1001 E USA CIR, SUITE B, Wasilla, AK 99654.
Quick Facts
- NPI
- 1861684318
- Type
- Individual
- Enumerated
- Aug 17, 2007
- Last Updated
- Aug 7, 2013
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