Provider First Line Business Practice Location Address:
JULIAN H. FAIR 111,DMD,P.A. , 112 LOUIE STREET
Provider Second Line Business Practice Location Address:
112 LOUIE STREET
Provider Business Practice Location Address City Name:
WAGENER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-564-3446
Provider Business Practice Location Address Fax Number:
803-564-5254
Provider Enumeration Date:
10/31/2006