NPI | 1871175455 |
---|---|
Doing Business As | DENTAL- DENTAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-04-23 |
Last Update Date | 2023-09-18 |