| NPI | 1558772277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GERIK Owner/President 907-456-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 1350) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |