Search › Washington › 122300000X
Jonathan Fairbanks, DDS
NPI 1316166218 · on the registry since 2007
Practice
- Address
- 1410 Se Bishop Blvd
Pullman, WA 99163 - Phone
- (509) 332-2329
- Fax
- (506) 334-9239
- Organisation at this address
- Mc-Pull Llc
A.M. Fairbanks D.D.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington