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Individual

DR. MORTON W FAIRLEIGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.S.

Contact information

Practice address
13030 COPELAND RD, HOUSTON, TX 77070
(281) 469-3769
(281) 469-6270
Mailing address
13030 COPELAND RD, HOUSTON, TX 77070
(281) 469-3769
(281) 469-6270

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9781
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
742127429
TAX ID
TX
Enumeration date
04/23/2007
Last updated
07/08/2007
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