Organization
SPRUCE ROOTS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS WILLIS (BUSINESS MANAGER)
(907) 479-3326
Entity
Organization
Contact information
Practice address
4001 GEIST RD, STE 5, FAIRBANKS, AK 99709-3569
(907) 479-3326
(907) 479-6410
Mailing address
4001 GEIST RD, STE 5, FAIRBANKS, AK 99709-3569
(907) 479-3326
(907) 479-6410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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