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1104302801
LOGAN RASE WOODS
WASILLA, AK
NPI
1104302801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 132596)
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
Dr. LOGAN RASE WOODS DMD
1551 W PARKS HWY
WASILLA, AK 99654-6933
Phone number: 907-376-9858
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Mailing Address
Dr. LOGAN RASE WOODS DMD
1551 W PARKS HWY
WASILLA, AK 99654-6933
Phone number:
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