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1518156991
JON CHRISTIAN FAIRBANKS
HERRIMAN, UT
NPI
1518156991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 6662667)
Enumeration Date
2007-10-22
Last Update Date
2020-10-13
Business Address
Dr. JON CHRISTIAN FAIRBANKS DMD
5532 W. HERRIMAN MAIN STREET #210
HERRIMAN, UT 84096
Phone number: 801-446-9533
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Mailing Address
Dr. JON CHRISTIAN FAIRBANKS DMD
5532 W. HERRIMAN MAIN STREET #210
HERRIMAN, UT 84096
Phone number: 801-446-9533
Copy
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