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1588141220
TANNER DOUGLAS ZYLSTRA
FAIRBANKS, AK
NPI
1588141220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AK 135404)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
Dr. TANNER DOUGLAS ZYLSTRA DDS
3487 AIRPORT WAY
FAIRBANKS, AK 99709-4761
Phone number: 907-479-7771
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Mailing Address
Dr. TANNER DOUGLAS ZYLSTRA DDS
109 CHIEF CHARLIE DR
FAIRBANKS, AK 99709-4861
Phone number: 909-967-8052
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