RONALD EDWARD FAIRFAX

HAILEY, ID
NPI1508966300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3221)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
Dr. RONALD EDWARD FAIRFAX D.D.S.
14 E. ELM ST.
HAILEY, ID 83333
Phone number: 208-788-0048
Mailing Address
Dr. RONALD EDWARD FAIRFAX D.D.S.
PO BOX 3150
HAILEY, ID 83333-3150
Phone number: 208-788-0048
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