MATTHEW LANE FAIRBURN

RIDGELAND, MS
NPI1689764722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  3292-04)
Enumeration Date2006-10-12
Last Update Date2007-07-18
Business Address
Dr. MATTHEW LANE FAIRBURN D.M.D.
865 SOUTH PEAR ORCHARD ROAD
RIDGELAND, MS 39157
Phone number: 601-956-4007
Mailing Address
Dr. MATTHEW LANE FAIRBURN D.M.D.
865 SOUTH PEAR ORCHARD ROAD
RIDGELAND, MS 39157
Phone number: 601-956-4007
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