Jonathan P Woller, D.M.D.

NPI #1144385659 in Fairbanks, Alaska

Provider Information

NPI Number: 1144385659
Entity Type: Individual
Name: Jonathan P Woller, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Dec 26, 2006
Last Updated: Dec 9, 2010

Practice Location

Address: 3535 COLLEGE RD
Address 2: SUITE #205
City: Fairbanks
State: Alaska
ZIP Code: 99709-3722
Phone: (907) 479-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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