NPI | 1548572761 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW JAMES WAPPETT Owner 907-456-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1276) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2024-05-22 |