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1760452114
WILLIE RUSSELL FAISON
FORT BRAGG, NC
NPI
1760452114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 6076)
Enumeration Date
2006-01-26
Last Update Date
2023-03-07
Business Address
Dr. WILLIE RUSSELL FAISON DDS
DEPT OF THE ARMY, DENTAL ACTIVITY STOP B 2817 REILLY RD, MCDS-NA-B
FORT BRAGG, NC 28310-0001
Phone number: 910-396-5610
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Mailing Address
Dr. WILLIE RUSSELL FAISON DDS
DEPT OF THE ARMY, DENTAL ACTIVITY STOP B 2817 REILLY RD, MCDS-NA-B
FORT BRAGG, NC 28310-0001
Phone number: 910-396-5610
Copy
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