Individual
THOMAS FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25610 104TH AVE SE, KENT, WA 98030-7610
(253) 850-9777
Mailing address
25610 104TH AVE SE, KENT, WA 98030-7610
(253) 850-9777
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE00009859
WA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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