Individual
DR. RUSSEL FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
313 E 22ND AVE, GULF SHORES, AL 36542-3193
(251) 948-9313
Mailing address
1405 HOLLAND ST, GULF SHORES, AL 36542-4096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007165-C1
AL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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