SpecialtyDentist
LocationFort Wainwright, AK
NPI1316380835
License numberDEN.00203471
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 04/27/2018). If this looks outdated, use "Report an issue" on this profile to suggest a correction.