| NPI | 1528463304 |
|---|---|
| Doing Business As | SUNSHINE COMMUNITH HEALTH WILLOW DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA SIMPSON Credentailing Specialist 907-733-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 77895) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2024-12-03 |