Individual
JOAN RICA GUIDANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101495
CA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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