| NPI | 1710650452 |
|---|---|
| Former Legal Business Name | ALCAN FAMILY DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S COPLIN Owner 907-562-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |