| 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 |