| NPI | 1194062364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRAN SCHEUFFELE Practice Manger 907-248-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1308) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |