JONATHAN P WOLLER

FAIRBANKS, AK
NPI1144385659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  D11967)
Additional Taxonomies122300000X Dentist
(Licence: AK  1155)
Enumeration Date2006-12-26
Last Update Date2010-12-09
Business Address
-- JONATHAN P WOLLER D.M.D.
3535 COLLEGE RD SUITE #205
FAIRBANKS, AK 99709-3722
Phone number: 907-479-6747
Mailing Address
-- JONATHAN P WOLLER D.M.D.
3535 COLLEGE RD SUITE #205
FAIRBANKS, AK 99709-3722
Phone number: 907-479-6747
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