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1386766673
BRIAN D WIGHT
WASILLA, AK
NPI
1386766673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 1067)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Dr. BRIAN D WIGHT DDS
351 W SWANSON #1
WASILLA, AK 99654
Phone number: 907-376-5315
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Mailing Address
Dr. BRIAN D WIGHT DDS
19716 REVILLA CIRCLE
EAGLE RIVER, AK 99577
Phone number: 907-622-6017
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