| NPI | 1942865761 |
|---|---|
| Doing Business As | CHUGACH DENTAL, LLC |
| Entity Type | Organization |
| Authorized Contact | ADAM JENSEN Owner 907-868-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |