Organization
FAIRBANKS ORTHODONTICS, P.C.
Active
Other names
Fairbanks Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3300 NORTH RUNNING CREEK WAY, BUILDING F # 102, LEHI, UT 84043
(385) 336-6604
Mailing address
3300 NORTH RUNNING CREEK WAY, BUILDING F # 102, LEHI, UT 84043
(385) 336-6604
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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