Frost Dental - Fairbanks LLC

NPI #1487198743 in Fairbanks, Alaska

Provider Information

NPI Number: 1487198743
Entity Type: Organization
Organization Name: Frost Dental - Fairbanks LLC
Primary Specialty: Dentist
Enumeration Date: Dec 6, 2016
Last Updated: Dec 6, 2016

Practice Location

Address: 1005 DANBY ST
City: Fairbanks
State: Alaska
ZIP Code: 99701-4372
Phone: (972) 869-3789

Authorized Official

Name: MARY PU
Title: VP OF FINANCE
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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