NPI | 1295972677 |
---|---|
Other Name | DENAINA WELLNESS CENTER |
Doing Business As | DENAINA DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | GREG BURNETT Finance Director 907-335-7200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist (Licence: AK ihs) |
261QD0000X Clinic/Center, Dental | |
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
Enumeration Date | 2009-01-07 |
Last Update Date | 2024-12-02 |