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1679595003
W. JACKSON FAIRCLOTH
CHARLOTTESVILLE, VA
NPI
1679595003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: VA 0401005586)
Enumeration Date
2006-07-24
Last Update Date
2007-08-08
Business Address
Dr. W. JACKSON FAIRCLOTH D.D.S.
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901-8124
Phone number: 434-973-3348
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Mailing Address
Dr. W. JACKSON FAIRCLOTH D.D.S.
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901-8124
Phone number: 434-973-3348
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