Individual
JAMES EDWARD FABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 735-9363
Mailing address
PO BOX 2553, SUN VALLEY, ID 83353-2553
(208) 721-3826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1704
ID
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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