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Individual

DR. MARLO LESLIE SAENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(907) 452-8251
Mailing address
2500 ALLEN ADALE RD, FAIRBANKS, AK 99709-2580
(907) 452-7299

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1195
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD1303
AK
Enumeration date
02/20/2007
Last updated
07/08/2007
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