Organization · Type 2 NPI
Fairview Dental LLC
Dental Clinic/Center · Ellenwood, GA
NPI number
1891280673
Active
Practice location
210 Fairview Rd
Ellenwood, GA 30294-2704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN015055 (GA) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1891280673
Fairview Dental LLC's National Provider Identifier is 1891280673, issued on Jun 25, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ellenwood, GA. The record was last updated on Jun 25, 2018.