NPI | 1831621093 |
---|---|
Doing Business As | ALASKA ORAL & FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | BILLIE JO MARTIN Executive Director 907-452-4101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
Enumeration Date | 2017-03-28 |
Last Update Date | 2023-09-12 |