Individual
ERIC SCOTT FAGERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-4955
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-4955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
199437
AK
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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