Individual
DR. MICHAEL RICHARD KWASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(907) 452-8251
Mailing address
798 CRANBERRY RIDGE DR, FAIRBANKS, AK 99712-1103
(907) 474-0715
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
933
AK
1223G0001X
General Practice Dentistry
Primary
933
AK
Other
Enumeration date
07/05/2006
Last updated
02/19/2013
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