Individual
MEGAN KLEINERT FAIRBAIRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 HARDYVILLE CIR, DEMOREST, GA 30535-6007
(706) 778-6260
Mailing address
170 THOMAS ST APT D, CORNELIA, GA 30531-3638
(706) 968-2168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123177
GA
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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