| Fairway Dental Care | |
|
1716 S Gold St Centralia WA 98531-8951 | |
| (360) 623-1350 | |
| Not Available |
| Full Name | Fairway Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1716 S Gold St, Centralia, Washington |
| Authorized Official Name and Position | Rohn Falter (PRESIDENT) |
| Authorized Official Contact | 3606231350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairway Dental Care 1716 S Gold St Centralia WA 98531-8951 Ph: (360) 623-1350 | Fairway Dental Care 1716 S Gold St Centralia WA 98531-8951 Ph: (360) 623-1350 |
| NPI Number | 1720240203 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720240203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8288 (Washington) | Primary |
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