| NPI | 1396296620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHARDSON President 907-229-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 1039387) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |