Spruce Roots Family Dentistry, LLC

NPI #1013528090 in Fairbanks, Alaska

Provider Information

NPI Number
1013528090
Entity Type
Organization
Organization Name
Spruce Roots Family Dentistry, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 12, 2020
Last Updated
Aug 12, 2020

Practice Location

Address
4001 GEIST RD
Address 2
STE 5
State
Alaska
ZIP Code
99709-3569
Phone
(907) 479-3326

Authorized Official

Name
CHRIS WILLIS
Title
BUSINESS MANAGER
Phone
(907) 479-3326

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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