| NPI | 1285000505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MICHELLE MOLESKI Owner/Doctor 907-789-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |