| NPI | 1801335856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS GURR Owner/Doctor 907-376-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1524) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AK 1524) |
| 126800000X Dental Assistant (Licence: AK 1524) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |