Timothy J Woller D.d.s. PC

NPI #1386869527 in Fairbanks, Alaska

Provider Information

NPI Number: 1386869527
Entity Type: Organization
Organization Name: Timothy J Woller D.d.s. PC
Primary Specialty: Dentist
Enumeration Date: Apr 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3535 COLLEGE RD
Address 2: STE 205
City: Fairbanks
State: Alaska
ZIP Code: 99709-3710
Phone: (907) 479-6747

Authorized Official

Name: DR. TIMOTHY JOHN WOLLER, D.D.S.
Title: PRESIDENT
Phone: (907) 479-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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