| NPI | 1568540946 |
|---|---|
| Doing Business As | FOUR CORNERS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PETE B HIGGINS Dentist 907-258-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AK 1012) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-05-12 |