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1457765471
PHYLLIS LYNN PENDERGRAST
FAIRBANKS, AK
NPI
1457765471
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Other Name
PHYLLIS LYNN EVERHARDT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 0477)
Enumeration Date
2014-06-18
Last Update Date
2014-06-26
Business Address
DR. PHYLLIS LYNN PENDERGRAST DMD
3539 THOMAS ST
FAIRBANKS, AK 99709
Phone number: 907-452-7041
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Mailing Address
DR. PHYLLIS LYNN PENDERGRAST DMD
3539 THOMAS ST
FAIRBANKS, AK 99709
Phone number: 907-452-7041
Copy
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