NPI | 1770737546 |
---|---|
Former Legal Business Name | MAD DOGS & ENGLISHMEN |
Entity Type | Organization |
Authorized Contact | DANIEL S KILANOWSKI Owner 907-357-7477 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: AK 741871) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2008-12-02 |