DR. Jessica L Woller, DMD, MSD, CO

NPI #1164653473 in Fairbanks, Alaska

Provider Information

NPI Number: 1164653473
Entity Type: Individual
Name: DR. Jessica L Woller, DMD, MSD, CO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DMD, MSD, CO
Enumeration Date: Aug 4, 2009
Last Updated: Oct 29, 2009

Practice Location

Address: 1919 LATHROP ST
Address 2: SUITE 102
City: Fairbanks
State: Alaska
ZIP Code: 99701-5937
Phone: (907) 452-2939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

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