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1699858001
JACKSON D FORDHAM
DUBLIN, GA
NPI
1699858001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA 9503)
Enumeration Date
2006-10-23
Last Update Date
2016-06-20
Business Address
Dr. JACKSON D FORDHAM DMD
204 FAIRVIEW PARK DR
DUBLIN, GA 31021-2547
Phone number: 478-272-4051
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Mailing Address
Dr. JACKSON D FORDHAM DMD
204 FAIRVIEW PARK DR
DUBLIN, GA 31021-2547
Phone number: 478-272-4051
Copy
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