| NPI | 1023283595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE R. LORENZ Office Manager 907-277-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 260186) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |