| NPI | 1548572761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JAMES WAPPETT Owner 907-457-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1276) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |