Individual
DR. KEVIN W FAIRFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
939 E PONTALUNA RD, MUSKEGON, MI 49444-9778
(231) 798-9911
(231) 799-9580
Mailing address
939 E PONTALUNA RD, MUSKEGON, MI 49444-9778
(231) 798-9911
(231) 799-9580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014562
MI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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