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Organization

GERIK DENTAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN GERIK D.D.S. (OWNER/PRESIDENT)
(907) 456-5665
Entity
Organization

Contact information

Practice address
1305 21ST AVE, SUITE #102, FAIRBANKS, AK 99701-6084
(907) 456-5665
(907) 456-1753
Mailing address
1305 21ST AVE, SUITE #102, FAIRBANKS, AK 99701-6084
(907) 456-5665
(907) 456-1753

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1350
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1601351
AK
Enumeration date
05/15/2014
Last updated
05/15/2014
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