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Individual

DR. CARL COLLIN FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, DDS

Contact information

Practice address
3569 ZAFARANO DR, SANTA FE, NM 87507-2618
(480) 280-0669
(480) 821-5111
Mailing address
2880 E GERMANN RD, SUITE 13, CHANDLER, AZ 85286-1410
(480) 280-0669
(480) 821-5111

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7462
AZ
1223G0001X
General Practice Dentistry
DD3476
NM

Other

Enumeration date
10/10/2007
Last updated
03/21/2012
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