| NPI | 1124593769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL LUFF Owner, Orthodontist 907-563-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |