| NPI | 1346658127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J MIRCI Dentist 907-283-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2024-06-13 |