Organization
A.M. FAIRBANKS D.D.S.
Active
Other names
Todays Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED M FAIRBANKS DDS (OWNER)
(509) 332-2329
Entity
Organization
Contact information
Practice address
1410 SE BISHOP BLVD, PULLMAN, WA 99163
(509) 332-2329
(509) 334-9239
Mailing address
1410 SE BISHOP BLVD, PULLMAN, WA 99163
(509) 332-2329
(509) 332-9239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60031734400
WA
1223G0001X
General Practice Dentistry
Primary
DE-00004076
WA
Other
Enumeration date
05/02/2007
Last updated
08/04/2008
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