| NPI | 1063863215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BEN MASSEY Owner 907-339-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1026) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |