| NPI | 1508362161 |
|---|---|
| Doing Business As | ALASKA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PHILIP J LATTEIER Owner 907-562-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 128215) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |