NPI | 1528463304 |
---|---|
Doing Business As | SUNSHINE COMMUNITH HEALTH WILLOW DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | VALERA BRICKEL Finance Director 907-733-9216 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 77895) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2014-10-23 |