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Dental Assistant

Fairbanks, Alaska

Provider NPI: 1710234877

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
122 1ST AVE 600 FAIRBANKS, AK 99701 US
Tel: 907-452-8251  Fax: 907-459-3837

Business Mailing Address:
122 1ST AVE 600 FAIRBANKS, AK 99701 US
Tel: 907-452-8251  Fax: 907-459-3837

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant


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