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Individual

DR. BRENDAN J FAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
HIGHWAY 98 & NAVAJO ROUTE 16, TONALEA, AZ 86044
(928) 672-3000
(928) 672-3005
Mailing address
PO BOX 7397, SHONTO, AZ 86054-7397
(928) 672-3000
(928) 672-3005

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001164
DE

Other

Enumeration date
10/25/2005
Last updated
12/13/2013
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