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CHRISTOPHER G FEARON DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1982771473

Individual Registrant:
 CHRISTOPHER G FEARON DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
BUILDING 634, POSTAL LOOP 7500 US ARMY DENTAL CLINIC FORT RICHARDSON, AK 99505-7500 US
Tel: 907-384-3079  Fax: --

Contact information for business:
BUILDING 634 POSTAL LOOP 7500 US ARMY DENTAL CLINIC FORT RICHARDSON, AK 99505-7500 US
Tel: 907-384-3079  Fax: --

Registration Information:
NPI: 1982771473
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AK1157

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DD115FQAK05




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