DR. Phyllis Lynn Pendergrast, DMD

NPI #1457765471 in Fairbanks, Alaska

Provider Information

NPI Number: 1457765471
Entity Type: Individual
Name: DR. Phyllis Lynn Pendergrast, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 18, 2014
Last Updated: Jun 26, 2014

Practice Location

Address: 3539 THOMAS ST
City: Fairbanks
State: Alaska
ZIP Code: 99709
Phone: (907) 452-7041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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