| NPI | 1720302433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN T WORTHAM Manager 907-280-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK AK1024) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2016-10-17 |