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Organization
FAIRWAY DENTAL AZ PLLC
Active
Organization
FAIRWAY DENTAL AZ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN EWELL D.M.D. (OWNER/DENIST)
(623) 428-1808
Entity
Organization
Contact information
Practice address
250 VILLAGE PARKWAY, SUITE 203/204, LITCHFIELD PARK, AZ 85340
(623) 428-1808
(623) 428-0690
Mailing address
250 VILLAGE PARKWAY, SUITE 205, LITCHFIELD PARK, AZ 85340
(623) 428-1808
(623) 428-0690
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/12/2025
Last updated
12/22/2025
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