NPI | 1174350086 |
---|---|
Doing Business As | ALASKA SMILES |
Entity Type | Organization |
Authorized Contact | BRETT COLTER JOHNSON Owner/Dentist 907-278-6684 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-09-16 |