| NPI | 1073888418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PATRICK WHITE Manager 907-262-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 1413) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |