Organization
UNIVERSITY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL BAST D.D.S. (DENTIST)
(907) 479-2206
Entity
Organization
Contact information
Practice address
570 UNIVERSITY AVE STE A, FAIRBANKS, AK 99709-3641
(907) 479-2206
(907) 479-6847
Mailing address
570 UNIVERSITY AVE STE A, FAIRBANKS, AK 99709-3641
(907) 479-2206
(907) 479-6847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
308
AK
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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