Individual
DR. MICHAEL CARLTON FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13455 N LON ADAMS RD, MARANA, AZ 85653
(520) 616-0790
(520) 616-0921
Mailing address
13455 N LON ADAMS RD, PO BOX 936, MARANA, AZ 85653
(520) 616-0790
(520) 616-0921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5947
AZ
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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