Individual
TODD PAUL FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
UNIVERSITY OF WASHINGTON ORAL SURGERY DEPT, BOX 357134, 1959 NE PACIFIC ST., SEATTLE, WA 98195-7134
(206) 543-7722
(206) 685-7222
Mailing address
UNIVERSITY OF WASHINGTON ORAL SURGERY DEPT, BOX 357134, 1959 NE PACIFIC ST., SEATTLE, WA 98195-7134
(206) 543-7722
(206) 685-7222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DR 60096066
WA
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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