NPI | 1285410340 |
---|---|
Doing Business As | ALASKA CENTER FOR ORAL AND FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | ERIC NORDSTROM Medical Director 907-222-5052 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse |
Enumeration Date | 2023-09-05 |
Last Update Date | 2023-09-05 |