| NPI | 1245456755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE L BURTCH President 907-745-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 825) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |