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Organization
MEGAN M FAIRCLOTH DDS PLLC
Active
Organization
MEGAN M FAIRCLOTH DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN FAIRCLOTH (OWNER)
(313) 259-2410
Entity
Organization
Contact information
Practice address
3374 E JEFFERSON AVE, DETROIT, MI 48207-4236
(313) 259-2410
Mailing address
3374 E JEFFERSON AVE, DETROIT, MI 48207-4236
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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