| NPI | 1124321526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C MCNEIL Managing Member 907-646-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1331) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |