| NPI | 1003010042 |
|---|---|
| Doing Business As | MANIILAQ HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL HANSON Medical Staff Services 907-442-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AK 234051) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |