Individual
DR. KRISTIN L FAIRBANKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
520 JOHNSTON ST, SAULT SAINTE MARIE, MI 49783-2122
(906) 632-6151
Mailing address
520 JOHNSTON ST, SAULT SAINTE MARIE, MI 49783-2122
(906) 632-6151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014071
MI
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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