| NPI | 1457609083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE KNIGHT Executive Director 907-333-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 978293) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: AK 978293) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |