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 |