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1417039280
ISAAC FAXON HOLTON
AUGUSTA, GA
NPI
1417039280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA 8610)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
Dr. ISAAC FAXON HOLTON D.M.D.
1214 W MEDICAL PARK RD
AUGUSTA, GA 30909-4503
Phone number: 706-860-7937
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Mailing Address
Dr. ISAAC FAXON HOLTON D.M.D.
1214 W MEDICAL PARK RD
AUGUSTA, GA 30909-4503
Phone number: 706-860-7937
Copy
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