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FAIRBANKS ORAL SURGERY, LLC

Organization (NPI-2) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1063710994
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
12810 GLEN ALPS RD, ANCHORAGE, AK, 995166956
Phone
(907) 388-1386
Fax
(907) 455-2010

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery Primary License: AK #164

All Addresses

MAILING

114 MINNIE ST SUITE D

FAIRBANKS, AK, 997013006

(907) 455-1040

LOCATION

12810 GLEN ALPS RD

ANCHORAGE, AK, 995166956

(907) 388-1386