NPI | 1508385253 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON DASHOW Surgeon 907-222-5052 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
Enumeration Date | 2017-09-13 |
Last Update Date | 2022-07-21 |