Southcentral Foundation Valid NPI

Organization · General Practice Dentistry · Iliamna, AK

NPI

1396292298

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

20467 (AK)

Enumerated

2016-09-08

Last updated

2023-09-05