Individual
DR. DIRK S MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
421 3RD ST STE B, FAIRBANKS, AK 99701-3506
(907) 452-6665
Mailing address
421 3RD ST STE B, FAIRBANKS, AK 99701-3506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AK1177
AK
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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