NPI | 1114632007 |
---|---|
Doing Business As | TAKE 2 DENTAL IMPLANT STUDIO |
Entity Type | Organization |
Authorized Contact | GUY J BURK Owner Dentist 907-360-8516 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-01-16 |
Last Update Date | 2023-01-16 |