FAIRBANKS ORTHODONTIC GROUP A PROF CORP
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1013084680- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1919 LATHROP ST SUITE 102, FAIRBANKS, AK, 99701
- Phone
- (907) 452-2939
- Fax
- (907) 451-7330
Specialties & Taxonomies
Dentist
License: AK #AK330
Dentist, Orthodontics and Dentofacial Orthopedics
Primary License: AK #AK9