NPI | 1346640331 |
---|---|
Doing Business As | ALASKA DENTAL ARTS NORTH POLE |
Former Legal Business Name | JEREMY BAUER DDS LLC |
Entity Type | Organization |
Authorized Contact | JEREMY BAUER Dentist 907-490-4650 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-08-27 |
Last Update Date | 2024-04-16 |