Organization
NEIBAUR DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BRIGG NEIBAUR D.M.D. (PRESIDENT)
(907) 378-9620
Entity
Organization
Contact information
Practice address
102 10TH AVE, FAIRBANKS, AK 99701-5003
(907) 456-6111
(907) 456-6122
Mailing address
102 10TH AVE, FAIRBANKS, AK 99701-5003
(907) 456-6111
(907) 456-6122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1337
AK
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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