Individual
MR. MICHAEL BRIAN FAKTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
412 ELK AVE., CRESTED BUTTE, CO 81224-1228
(212) 759-2955
(970) 349-9485
Mailing address
PO BOX 1228, CRESTED BUTTE, CO 81224-1228
(970) 319-9263
(970) 349-9485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053098
NY
122300000X
Dentist
Primary
8680
CO
Other
Enumeration date
04/27/2007
Last updated
02/04/2009
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