| NPI | 1205075447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A ROALOFS President 907-333-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK 118) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |