| NPI | 1619164761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL SKINNER Owner 907-377-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 906716) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |