| NPI | 1841030384 |
|---|---|
| Doing Business As | NORTHERN SMILES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DEVIN JOHNSON President 907-331-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |