| NPI | 1962726364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN S MILLER Patient Accounts Manager Dental 907-317-6070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |