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Contact Information

THE FAIRFIELD DENTAL CLINIC
214 MAIN ST
FAIRFIELD, WA99012
 Phone: 509-283-2261
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THE FAIRFIELD DENTAL CLINIC · (Female)

NPI Number 1023489465
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2015
Last updated 10/12/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # DE 00008595
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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