NPI | 1821138132 |
---|---|
Doing Business As | EAGLE RIVER ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ELDON LEE DEKAY President 907-694-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AK 915) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2008-02-18 |