| NPI | 1205883907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE PFEFFER CEO 907-486-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 233103) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-02-15 |