| NPI | 1194163691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D PARISEK Dentist Dds/Owner 907-622-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 988584) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2023-12-13 |