NPI | 1417267337 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES BRANT DARBY Pediatric Dentist/Owner 907-229-0629 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AK D137) |
Enumeration Date | 2010-10-13 |
Last Update Date | 2010-10-13 |