| NPI | 1790858207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALLEN LIEN Managing Member 907-235-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK AA0649) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-04-04 |