| NPI | 1902978091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA AHO Office Manager 907-745-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 865) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-01-31 |