| NPI | 1164570727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON A MILLER Owner 907-277-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK 409) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AK 437) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |