Fair Dentistry
Dentist in Marana, AZ. Organization (NPI-2).
NPI number1982826558
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982826558
- Entity type
- Organization (NPI-2)
- Legal business name
- Fair Dentistry
- Organization subpart
- No
- Enumeration date
- May 3, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5947 | AZ | Yes |
Other names
- Marana Dental Care (Doing Business As)
Practice location
13455 N. Lon Adams RoadMarana, AZ 85653-0936
Phone 520-616-0790 · Fax 520-616-0921
Mailing address
Po Box 93613455 N. Lon Adams Road
Marana, AZ 85653-0936
Phone 520-616-0790 · Fax 520-616-0921
Authorized official
Michael Carlton Fair
Owner
5206160790
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