Individual
KAREN FEDELEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1717 W. COWLES ST., FAIRBANKS, AK 99701-5926
(907) 452-8251
Mailing address
1717 W COWLES ST., FAIRBANKS, AK 99701-5926
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1423
AK
Other
Enumeration date
08/29/2012
Last updated
02/08/2013
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