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
ZIP Code
99163-5419
Phone
(509) 332-2329

Specialties & Taxonomy Codes

Specialty
Dentist

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