| NPI | 1700312188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS METHVEN President 907-841-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK D1355) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |