| NPI | 1295972677 |
|---|---|
| Other Name | DENAINA WELLNESS CENTER |
| Doing Business As | DENAINA DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KOSKI Director Of Health Systems 907-335-7557 |
| 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 | 2024-10-07 |