DENNIS RULON FAIRBOURN

REPRESA, CA
NPI1730362930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  24664)
Enumeration Date2007-12-11
Last Update Date2007-12-11
Business Address
-- DENNIS RULON FAIRBOURN DMD
100 PRISON ROAD CALIFORNIA STATE PRISON SACRAMENTO
REPRESA, CA 95671
Phone number: 910-985-8610
Mailing Address
-- DENNIS RULON FAIRBOURN DMD
100 PRISON ROAD CALIFORNIA STATE PRISON SACRAMENTO
REPRESA, CA 95671
Phone number: 910-985-8610