| NPI | 1649381047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HANS HENRY President Owner 907-457-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AK AA1099) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |