Organization
FAIR DENTISTRY
Active
Other names
Marana Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CARLTON FAIR DDS (OWNER)
(520) 616-0790
Entity
Organization
Contact information
Practice address
13455 N. LON ADAMS ROAD, MARANA, AZ 85653-0936
(520) 616-0790
(520) 616-0921
Mailing address
PO BOX 936, 13455 N. LON ADAMS ROAD, MARANA, AZ 85653-0936
(520) 616-0790
(520) 616-0921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5947
AZ
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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