CONNOR FAIRBANKS

POCATELLO, ID
NPI1952822686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-4836)
Enumeration Date2017-07-03
Last Update Date2017-07-03
Business Address
DR. CONNOR FAIRBANKS DDS
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209-0002
Phone number: 208-282-6000
Mailing Address
DR. CONNOR FAIRBANKS DDS
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209-8088
Phone number: 208-282-6000
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