Individual
JEFFREY W KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1606 23RD AVE, FAIRBANKS, AK 99701-6407
(907) 455-4567
(907) 458-1589
Mailing address
1606 23RD AVE, FAIRBANKS, AK 99701-6407
(907) 455-4567
(907) 458-1589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1277
AK
Other
Enumeration date
08/15/2008
Last updated
08/27/2008
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