| NPI | 1609365105 |
|---|---|
| Doing Business As | ALASKA ADVANCED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | REX MALCOM Manager 907-522-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AK 100531) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |