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Brian Ashley Fahey, D.D.S.

Dentist, General Practice in Carmichael, CA. Individual provider (NPI-1).

NPI number1114194875
StatusActive
Last updated in NPPESMay 13, 2008

Details

NPI
1114194875
Entity type
Individual (NPI-1)
Name
Brian Ashley Fahey
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 13, 2008
Last updated
May 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice33697CAYes

Practice location

2447 Mission Ave
Ste A
Carmichael, CA 95608-4910

Phone 916-483-2484 · Fax 916-483-1500

Mailing address

2447 Mission Ave
Ste A
Carmichael, CA 95608-4910

Phone 916-483-2484 · Fax 916-483-1500

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