GAMALIEL I. RODRIGUEZ, DDS, PC
Dentist at Saint Nicholas Dr, Fairbanks, AK

License number
Alaska AA828
Category
Dentist
Type
General Practice
Owner
Name: GAMALIEL ISSAC RODRIGUEZ DDS
Title: OWNER
Phone: (907) 490-0127
Address
Address
2595 Saint Nicholas Dr, Fairbanks, AK 99705
National Provider ID: 1558726489
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GAMALIEL I. RODRIGUEZ, D.D.S., PC

2595 St Nicholas Dr, North Pole, AK 99705

Registration:
Jan 22, 2001
State ID:
72113D
Business type:
Professional Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer:
Gamaliel I Rodriguez (Director, President, Shareholder, Secretary, Treasurer)
Next Report:
20150102

Dentist licenses in Alaska