| NPI | 1366764359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GLENN HOWARD President 907-562-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK 1328) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |