| NPI | 1306021365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M. TEEL General Dentist 907-452-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 340) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |