| NPI | 1154581718 |
|---|---|
| Doing Business As | EAGLE RIVER SMILES |
| Entity Type | Organization |
| Authorized Contact | BRYAN J ENGHIRST Dentist / Owner / President 907-696-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 1146) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |