| NPI | 1861533408 |
|---|---|
| Doing Business As | DENTAL- VILLAGE DENTAL CLINIC ( EAGLESOFT & DOLPHI |
| Doing Business As | DENTAL- FIREWEED DENTAL CLINIC ( EAGLESOFT & DOLPH |
| Doing Business As | DENTAL- ANMC DENTAL CLINIC (EAGLESOFT & DOLPHIN) |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-09-18 |