PHYLLIS LYNN PENDERGRAST

FAIRBANKS, AK
NPI1457765471
Other NamePHYLLIS LYNN EVERHARDT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  0477)
Enumeration Date2014-06-18
Last Update Date2014-06-26
Business Address
Dr. PHYLLIS LYNN PENDERGRAST DMD
3539 THOMAS ST
FAIRBANKS, AK 99709
Phone number: 907-452-7041
Mailing Address
Dr. PHYLLIS LYNN PENDERGRAST DMD
3539 THOMAS ST
FAIRBANKS, AK 99709
Phone number: 907-452-7041