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 |