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 |