| NPI | 1639716574 |
|---|---|
| Doing Business As | FAIRBANKS FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TODD HASKIN President And CEO 907-452-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |