Individual
GREGORY S. FURDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1060 GAFFNEY RD #7500 USA DENTAC ALASKA, FT. WAINWRIGHT ATTN: CREDENTIALS COORDINATOR, FORT WAINWRIGHT, AK 99703-7500
(907) 361-5530
(907) 361-4859
Mailing address
1060 GAFFNEY RD #7500 USA DENTAC ALASKA, FT. WAINWRIGHT ATTN: CREDENTIALS COORDINATOR, FORT WAINWRIGHT, AK 99703-7500
(907) 361-5530
(907) 361-5530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6322-15
WI
Other
Enumeration date
12/03/2008
Last updated
07/29/2009
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