Individual
DR. RYLE AUGUST RADKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2136 AIRPORT WAY, SUITE 1, FAIRBANKS, AK 99701
(907) 457-4480
(907) 452-3865
Mailing address
129 CARNEGIE WAY, FAIRBANKS, AK 99709
(907) 457-4480
(907) 452-5865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA549
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0549
—
AK
Enumeration date
02/21/2007
Last updated
07/08/2007
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