| NPI | 1477042760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J MUNGER General Dentist 907-345-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AK 341) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-06-20 |