PHYLLIS PENDERGRAST, D.M.D., A.P.C.

FAIRBANKS, AK
NPI1639381429
Entity TypeOrganization
Authorized ContactPHYLLIS L PENDERGRAST
Doctor
907-457-6145
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  477)
Enumeration Date2007-05-04
Last Update Date2014-10-22
Business Address
PHYLLIS PENDERGRAST, D.M.D., A.P.C.
3539 THOMAS ST.
FAIRBANKS, AK 99709-3833
Phone number: 907-452-7041
Mailing Address
PHYLLIS PENDERGRAST, D.M.D., A.P.C.
3539 THOMAS ST.
FAIRBANKS, AK 99709-3833
Phone number: 907-452-7041
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