| NPI | 1164441119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID HARTMAN Owner/Orthodontist 907-376-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AK 420264) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |