| NPI | 1730490996 |
|---|---|
| Doing Business As | TIMBERCREST DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL CHARLES ANDERSON President 907-895-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2013-07-23 |