W. JACKSON FAIRCLOTH

CHARLOTTESVILLE, VA
NPI1679595003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: VA  0401005586)
Enumeration Date2006-07-24
Last Update Date2007-08-08
Business Address
DR. W. JACKSON FAIRCLOTH D.D.S.
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901-8124
Phone number: 434-973-3348
Mailing Address
DR. W. JACKSON FAIRCLOTH D.D.S.
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901-8124
Phone number: 434-973-3348