Organization
FAIRBANKS ORAL SURGERY, LLC
Active
Parent organization
EAGLE ORAL & MAXILLOFACIAL SURGERY, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE ORAL & MAXILLOFACIAL SURGERY, PC
Authorized official
DR. SARAH JANE SATOW DMD (OWNER / PRESIDENT)
(907) 388-1386
Entity
Organization
Contact information
Practice address
12810 GLEN ALPS RD, ANCHORAGE, AK 99516-6956
(907) 388-1386
(907) 455-2010
Mailing address
114 MINNIE ST, SUITE D, FAIRBANKS, AK 99701-3006
(907) 455-1040
(907) 455-2010
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
164
AK
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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