| NPI | 1518160464 |
|---|---|
| Doing Business As | MANIILAQ HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL HANSON Administrator 907-442-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AK 234051) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |