| NPI | 1558726489 |
|---|---|
| Doing Business As | NORTHERN LIGHTS DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GAMALIEL ISSAC RODRIGUEZ Owner 907-490-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK AA828) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |