Michael David Fast D.D.S.

NPI 1447304357 - Dentist - 122300000X

NPI Details
NPI 1447304357
Gender Male
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
430 BROAD ST
COLUMBIA MS, 39429-3006, US
Phone (601) 736-7125
Fax
Business Location
48 CORNERSTONE RD
HATTIESBURG MS, 39402-8229, US
Phone (601) 271-8197
Fax
Toxanomy
Taxonomy Code 122300000X
License State Mississippi
License Number 2269-86
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According to our database, Dr. Michael David Fast D.D.S. NPI is 1447304357, taxonomy code is 122300000X and license number is 2269-86, license state is located at Mississippi. Michael David Fast D.D.S. physically located at 430 Broad St, Columbia MS, 39429-3006. NPI Number Michael David Fast D.D.S. has the Individual type.

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1447304357 NPI number is provided on an as is basis without warranty of any kind. 1447304357 is maintained by the National Plan & Provider Enumeration System. The contents of Michael David Fast D.D.S. are for informational purposes only.