Individual
BRIAN ASHLEY FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2447 MISSION AVE, STE A, CARMICHAEL, CA 95608-4910
(916) 483-2484
(916) 483-1500
Mailing address
2447 MISSION AVE, STE A, CARMICHAEL, CA 95608-4910
(916) 483-2484
(916) 483-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33697
CA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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