| NPI | 1871003863 |
|---|---|
| Doing Business As | EAGLE RIVER SMILES |
| Entity Type | Organization |
| Authorized Contact | CHUN PIU MAN President 907-693-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AK 105454) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-01-14 |