JOEL GREGORY WIERSUM

KODIAK, AK
NPI1467462341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  AA799)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
-- JOEL GREGORY WIERSUM DDS
411 REZANOF DR E SUITE 101
KODIAK, AK 99615
Phone number: 907-486-3475
Mailing Address
-- JOEL GREGORY WIERSUM DDS
411 REZANOF DR E SUITE 101
KODIAK, AK 99615
Phone number: 907-486-3475
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