NPI | 1063710994 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH JANE SATOW Owner / President 907-388-1386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AK 164) |
Enumeration Date | 2011-03-01 |
Last Update Date | 2011-03-01 |