NPI | 1770829988 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT WILSON LYKE Owner/Dentist 907-258-7060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 1293) |
Enumeration Date | 2012-12-14 |
Last Update Date | 2012-12-14 |