| NPI | 1447610365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RIEDERER Owner/Doctor 907-789-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK AA651) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |