| NPI | 1053695247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA SAFFORD Dental Health Aide 907-755-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: AK 11-075-PDHA I) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |