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1316015811
FRED D BAST
FAIRBANKS, AK
NPI
1316015811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AK 308)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
-- FRED D BAST dds
1606 23RD AVE
FAIRBANKS, AK 99701-6407
Phone number: 907-455-4567
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Mailing Address
-- FRED D BAST dds
1606 23RD AVE
FAIRBANKS, AK 99701-6407
Phone number: 907-455-4567
Copy
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