Fairbanks Orthodontic Group, a Professional Corporation
Fairbanks Orthodontic Group, a Professional Corporation is a Dental Clinic/Center in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2013.
- Licensed in
- AK
- In the registry since
- 2013
Practice location Address checks out
1919 Lathrop St Ste 102Fairbanks, AK 99701-5937
Phone: (907) 452-2939
Fax: (907) 451-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 1249 (AK) |
|---|
Record details
| NPI number | 1376982918 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Woller — Orthodontist · (907) 452-2939 |
| NPI enumerated | June 17, 2013 |
| Last updated in NPPES | June 17, 2013 |
| Mailing address | 1919 Lathrop St, Suite 102, Fairbanks, AK 99701-5937 |
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