| NPI | 1326262726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE PELTOLA CEO 907-543-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-03-03 |