| 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 |