| NPI | 1568616548 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF ALASKA |
| Entity Type | Organization |
| Authorized Contact | ROGER DUANE BECK Owner/President 907-373-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 924) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK 924) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2018-09-12 |