NPI | 1629374129 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER S COPLIN President 907-274-2525 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK AK1329) |
Enumeration Date | 2011-01-31 |
Last Update Date | 2011-01-31 |