Individual
TAYLOR FANKHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
701 HOSPITAL LOOP STE 350, FAIRCHILD AFB, WA 99011-8704
(509) 247-5820
Mailing address
701 HOSPITAL LOOP STE 350, FAIRCHILD AFB, WA 99011-8704
(509) 247-5820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13419443-9926
UT
Other
Enumeration date
03/13/2023
Last updated
08/27/2024
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