| NPI | 1114143468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GORN V P Hospital Services 907-443-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK DDG488) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |