Douglas Fairbanks, L.D.O.

NPI #1316185283 in Silverdale, Washington

Provider Information

NPI Number
1316185283
Entity Type
Individual
Name
Douglas Fairbanks, L.D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Credential
L.D.O.
Enumeration Date
Jan 29, 2009
Last Updated
Jan 29, 2009

Practice Location

Address
3260 NW MOUNT VINTAGE WAY
ZIP Code
98383-6000
Phone
(360) 698-1685

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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