| Jonathan P Woller D.m.d. Pc | |
|
3535 College Rd Suite #205 Fairbanks AK 99709-3722 | |
| (907) 479-6747 | |
| (907) 479-5786 |
| Full Name | Jonathan P Woller D.m.d. Pc |
|---|---|
| Speciality | Dentist |
| Location | 3535 College Rd, Fairbanks, Alaska |
| Authorized Official Name and Position | Jonathan Patrick Woller (PRESIDENT) |
| Authorized Official Contact | 9074796747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan P Woller D.m.d. Pc 3535 College Rd Suite #205 Fairbanks AK 99709-3722 Ph: (907) 479-6747 | Jonathan P Woller D.m.d. Pc 3535 College Rd Suite #205 Fairbanks AK 99709-3722 Ph: (907) 479-6747 |
| NPI Number | 1407159775 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407159775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1155 (Alaska) | Primary |
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