| NPI | 1295271492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE JAMES WELCH Dentist/Owner 907-563-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK DD0553) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-04-10 |