NPI | 1588808679 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD STEPHEN CHRISTENSEN Dentist 907-561-1330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1167) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2009-04-21 |