Organization · Type 2 NPI
Fairway Dental Az PLLC
Dental Clinic/Center · Litchfield Park, AZ
NPI number
1609730779
Active
Practice location
250 Village Parkway, Suite 203/204
Litchfield Park, AZ 85340
Fax (623) 428-0690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1609730779
Fairway Dental Az PLLC's National Provider Identifier is 1609730779, issued on Dec 12, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Litchfield Park, AZ. The record was last updated on Dec 22, 2025.