Individual
DR. BRIAN D WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
351 W SWANSON, #1, WASILLA, AK 99654
(907) 376-5315
(907) 376-7855
Mailing address
19716 REVILLA CIRCLE, EAGLE RIVER, AK 99577
(907) 622-6017
(907) 376-7855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1067
AK
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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