| NPI | 1285212175 |
|---|---|
| Doing Business As | FAIRWOOD ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LANETTE MCINTOSH Reg. Ops Manager 425-396-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-04-01 |