WILLIE RUSSELL FAISON

FORT BRAGG, NC
NPI1760452114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  6076)
Enumeration Date2006-01-26
Last Update Date2023-03-07
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
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