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 |