NPI | 1477041721 |
---|---|
Doing Business As | MAT-SU DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | SAMEER KAPIL Dentist 907-376-2456 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AK 1070224) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2018-04-23 |