| Frost Dental - Fairbanks Llc | |
|
1005 Danby St Fairbanks AK 99701-4372 | |
| (972) 869-3789 | |
| Not Available |
| Full Name | Frost Dental - Fairbanks Llc |
|---|---|
| Speciality | Dentist |
| Location | 1005 Danby St, Fairbanks, Alaska |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frost Dental - Fairbanks Llc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Frost Dental - Fairbanks Llc 1005 Danby St Fairbanks AK 99701-4372 Ph: (972) 869-3789 |
| NPI Number | 1487198743 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487198743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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