Jonathan M. Fairbanks, DDS
NPI #1316166218 in Pullman, Washington
Provider Information
- NPI Number
- 1316166218
- Entity Type
- Individual
- Name
- Jonathan M. Fairbanks, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1410 SE BISHOP BLVD
- City
- Pullman
- State
- Washington
- ZIP Code
- 99163-5419
- Phone
- (509) 332-2329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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