NPI | 1518571538 |
---|---|
Doing Business As | NORTHWIND DENTAL |
Entity Type | Organization |
Authorized Contact | THAYNE JORAY DAWSON Owner 907-707-9421 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-09-08 |
Last Update Date | 2023-07-31 |