Provider Demographics
NPI:1093039091
Name:FAINBERG, MARAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARAT
Middle Name:
Last Name:FAINBERG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8965 E FLORIDA AVE
Mailing Address - Street 2:13-305
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2809
Mailing Address - Country:US
Mailing Address - Phone:206-331-7699
Mailing Address - Fax:
Practice Address - Street 1:8965 E FLORIDA AVE
Practice Address - Street 2:13-305
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2809
Practice Address - Country:US
Practice Address - Phone:206-331-7699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-10134122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist