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1417947789
JAY FEDOROWICZ
FAIRFIELD, CA
NPI
1417947789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: WA 9711)
Enumeration Date
2005-10-26
Last Update Date
2021-11-09
Business Address
DR. JAY FEDOROWICZ DDS
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 074-237-1037
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Mailing Address
DR. JAY FEDOROWICZ DDS
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-7103
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