Dennis Rulon Fairbourn, DMD
NPI #1730362930 in Represa, California
Provider Information
- NPI Number
- 1730362930
- Entity Type
- Individual
- Name
- Dennis Rulon Fairbourn, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Dec 11, 2007
- Last Updated
- Dec 11, 2007
Practice Location
- Address
- 100 PRISON ROAD
- Address 2
- CALIFORNIA STATE PRISON SACRAMENTO
- City
- Represa
- State
- California
- ZIP Code
- 95671
- Phone
- (910) 985-8610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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