NPI | 1134803208 |
---|---|
Former Legal Business Name | CHRISTOPHER OLSEN, DDS LLC |
Doing Business As | ALASKA INTERIOR DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER OLSEN Owner 907-488-1515 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2023-06-09 |
Last Update Date | 2023-06-09 |