BRIAN D WIGHT

WASILLA, AK
NPI1386766673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  1067)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
Dr. BRIAN D WIGHT DDS
351 W SWANSON #1
WASILLA, AK 99654
Phone number: 907-376-5315
Mailing Address
Dr. BRIAN D WIGHT DDS
19716 REVILLA CIRCLE
EAGLE RIVER, AK 99577
Phone number: 907-622-6017