TIMOTHY J WOLLER D.D.S. PC
Dentist at College Rd, Fairbanks, AK

License number
Alaska 11957D
Category
Dentist
Type
Dentist
Owner
Name: DR. TIMOTHY JOHN WOLLER D.D.S.
Title: PRESIDENT
Phone: (907) 479-6747
Address
Address
3535 College Rd STE 205, Fairbanks, AK 99709
National Provider ID: 1386869527
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TIMOTHY J. WOLLER, D.D.S., A PROFESSIONAL CORPORATION

3535 College Rd #205, Fairbanks, AK 99709

Status:
Inactive
Doing business as:
Timothy J Woller DDS
Registration:
May 29, 1973
Phone:
(907) 479-6747 (Phone)
State ID:
11957D
Business type:
Professional Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
Timothy J Woller (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Categories:
Dentists
In business since:
1973

Dentist licenses in Alaska