Individual
DR. JON CHRISTIAN FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5532 W. HERRIMAN MAIN STREET, #210, HERRIMAN, UT 84096
(801) 446-9533
Mailing address
5532 W. HERRIMAN MAIN STREET, #210, HERRIMAN, UT 84096
(801) 446-9533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6662667
UT
Other
Enumeration date
10/22/2007
Last updated
10/13/2020
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