John P Bast, D.D.S

NPI #1124037478 in Fairbanks, Alaska

Provider Information

NPI Number
1124037478
Entity Type
Individual
Name
John P Bast, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Aug 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
570 UNIVERSITY AVE
State
Alaska
ZIP Code
99709-3641
Phone
(907) 479-2206

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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