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 |