Organization
TODD HASKIN DMD LLC
Active
Other names
Fairbanks Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TODD HASKIN DMD (PRESIDENT AND CEO)
(907) 452-8296
Entity
Organization
Contact information
Practice address
360 OLD CHENA PUMP RD STE A, FAIRBANKS, AK 99709-2936
(907) 452-8296
Mailing address
360 OLD CHENA PUMP RD STE A, FAIRBANKS, AK 99709-2936
(907) 452-8296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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