| NPI | 1306987532 |
|---|---|
| Doing Business As | WRANGELL MOUNTAIN DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ARLENE DILTS JACKSON CEO 907-822-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AK 36087) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |