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1699813022
MIKE FULLER
ANCHORAGE, AK
NPI
1699813022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 612)
Enumeration Date
2007-02-01
Last Update Date
2007-07-31
Business Address
MIKE FULLER DDS
4201 TUDOR CENTRE DR SUITE 320
ANCHORAGE, AK 99508-5904
Phone number: 907-317-6070
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Mailing Address
MIKE FULLER DDS
4201 TUDOR CENTRE DR SUITE 320
ANCHORAGE, AK 99508-5904
Phone number: 907-317-6070
Copy
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