DR. Ronald Edward Fairfax, D.D.S.

NPI #1508966300 in Hailey, Idaho

Provider Information

NPI Number: 1508966300
Entity Type: Individual
Name: DR. Ronald Edward Fairfax, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 14 E. ELM ST.
City: Hailey
State: Idaho
ZIP Code: 83333
Phone: (208) 788-0048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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