Fairway Dental Az Pllc
NPI #1609730779 in Litchfield Park, Arizona
Provider Information
- NPI Number
- 1609730779
- Entity Type
- Organization
- Organization Name
- Fairway Dental Az Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 12, 2025
- Last Updated
- Dec 22, 2025
Practice Location
- Address
- 250 VILLAGE PARKWAY
- Address 2
- SUITE 203/204
- City
- Litchfield Park
- State
- Arizona
- ZIP Code
- 85340
- Phone
- (623) 428-1808
Authorized Official
- Name
- DR. JUSTIN EWELL, D.M.D.
- Title
- OWNER/DENIST
- Phone
- (623) 428-1808
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