| NPI | 1538456678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI R WHEELER Office Manager 907-479-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 860) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |