Individual
MR. DANIEL WARD DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
Mailing address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4796
AK
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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