| NPI | 1861677817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R MIEARS General Dentist 907-452-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 903) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |